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Wiki Therapy timed service documentation

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coderfromtexas

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Local Chapter Officer
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McAllen, TX
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We received a denial for "The submitted documentation does not meet the timed service documentation requirements as published in the Medicare Benefit Policy Manual Chapter 15, Section 220".

We billed:

97112 x 2 units
97530 x 1 unit
97116 x 1 unit

At the top of the note, the therapist documented:

VISIT: 3
Units/Time: 60 minutes; 4 units
NMR: 35 minutes
Therapeutic activity: 15 minutes
Gait training: 10 minutes

Then went into specifics of what was done. Should there be more documentation regarding the time other than what is above?

Thank you for any advice you are able to give!
 
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