May a physical therapy provider bill for both (1) evaluation, and (2) procedure for the same session?

Question

For a single session (initial) of 45 minutes, can they bill for (1) Physical Therapy Evaluation and (2) Therapeutic Procedure? Is this not double-billing?

Answer 1

not if they put a modifier on your bill....in other words yes they can.

Answer 2

No the evealuation is a seperate function then treatment. Lots of people get evealuations but then decline treatment or seek treatment elsewhere. A doctor tyoically charges once for a diagnosis and seperately for surgery if needed. Just an example. Lawyers consult first then give feedback then bill for time invested. This is a typical arrangement of many professions and as long as they are seperate they can bill for both. If a doctor referred you for specific treatment then no evaluation should have been performed or billed since the treating DR already performed one.

Answer 3

If the Physical Therapist does an Evaluation and a Procedure during the same visit, both are billed. Are you trying to get something for nothing? Or, are you being charged for something that didn't happen?

Answer 4

If you received any therapy during the session, it's not double-billing.