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Medicare Part B Coding And Billing For OT Services In Long-Term Care: An Update

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1.  Why is documentation important?
  1. Supports medical necessity
  2. Describes skilled therapy
  3. Identifies specific skilled intervention to justify coding
  4. All of the above
2.  Which is a TRUE statement about modalities?
  1. Direct (one-on-one) contact means distant supervision.
  2. Multiple heating modalities can be used on the same day.
  3. Modalities are not generally stand-alone treatments.
  4. As function improves, you should continue to use the modality.
3.  Which code has a functional component in line with the scope of OT practice?
  1. 97032
  2. 97024
  3. 97110
  4. 97530
4.  What is a FALSE statement about the CPT code 97129?
  1. It cannot stand alone and must be used in conjunction with code 97130.
  2. The CPT code 97129 is for direct one-on-one patient contact.
  3. The CPT code 97129 can only be used once per patient per day/visit.
  4. The CPT code 97129 is reported for the initial 15 minutes of cognitive therapy.
5.  Why are claims denied?
  1. Wrong date of service
  2. Duplication of services
  3. Information required for payment missing
  4. All of the above