Spooner billing

Question 1

Blue Cross Blue Shield BCBS what intervention does BCBS not pay for?

Answer 1

Neuro, so don’t bill for that

Question 2

Never bill more than 2 what?

Answer 2

Neuro/theract

Question 3

if they are more PROM than therex? what would do most likely

Answer 3

2 Man 2 therex

Question 4

Who bills for cold pack?

Answer 4

lean and workmens compensation

Question 5

If you happen to see a patient on re-eval…

Answer 5

FOTO, re-eval with PT, also see if the PT did any tests to be re-tested today (i.e. TUG )

Question 6

Who only charges 4 units?

Answer 6

UHC, abrazo, cigna, banner PHP

Question 7

Bill for UHC who has been here for 75 minutes with no manual?

Answer 7

They were here technically for 5 units but UHC only bills for 4 units, so 4 tx.

Question 8

Bill for aetna who has been here for 45 minutes with 1 manual?

Answer 8

1 man 2 tx

Question 9

Bill for Abrazo who has been here 66 minutes with 1 manual ?

Answer 9

3 tx 1 man

Question 10

Bill for access who has been here 75 minutes with 1 manual?

Answer 10

3 therex 1 theract 1 man or 3 therex 1 neuro 1 manual or do 2 TA 2 TX and 1 man or 2 Neuro 2 TX and 1 manual, but never 3 of neuro or theract.

Question 11

if the patient has been here for 80 minutes (1 hour and 20 minutes), how much would you bill?

Answer 11

5 units (75 minutes makes 5 units) 1 hour and 15 minutes

Question 12

If the patient has been here for 90 minutes (1 hour and a 30 minutes), how much would you bill?

Answer 12

6 units (90 minutes or hour and a half)

Question 13

patient has been here for an hour and 45 minutes, how much would u bill?

Answer 13

7 units (105 minutes or hour and 45 minutes)

Question 14

Patient has been exercising for 2 hours, how much would you bill?

Answer 14

8 units (120 minutes 2 hours)