This is regard to the 1041 and 1055 Bulletins Medicaid put out about therapys. My facility is having troubled trying to bill for therapies with Medicaids 3 day prior/after combining rules. Can anyone give me any insite on this and how they bill for the therapies that bump against inpatient and outpatient services?

Do we only combine charges if the therapys are within the 3 days of the inpatient or outpatient dates? Or would it be combining any services provided within a 3 day range, which would basically be billling all services in that entire month since most therapies are every other day?

Also any documentation to support this would be very helpful. Thanks!