Page 170 - Medicare Benefit Policy Manual

VISITS OR TREATMENT SESSIONS begin at the time the patient enters the treatment
area (of a building, office, or clinic) and continue until all services (e.g., activities,
procedures, services) have been completed for that session and the patient leaves that area
to participate in a non-therapy activity. It is likely that not all minutes in the
visits/treatment sessions are billable (e.g., rest periods). There may be two treatment
sessions in a day, for example, in the morning and afternoon. When there are two visits/
treatment sessions in a day, plans of care indicate treatment amount of twice a day.

B. References

Paper Manuals. The following manuals, now outdated, were resources for the Internet
Only Manuals:

• Part A Medicare Intermediary Manual, (Pub. 13)
• Part B Medicare Carrier Manual, (Pub. 14)
• Hospital Manual, (Pub. 10)
• Outpatient Physical Therapy/CORF Manual, (Pub. 9)

Regulation and Statute. The information in this section is based in part on the following
current references:

• 42CFR refers to Title 42, Code of Federal Regulation (CFR).
• The Act refers to the Social Security Act.

Internet Only Manuals. Current Policies that concern providers and suppliers of therapy
services are located in many places throughout CMS Manuals. Sites that may be of
interest include:

• Pub.100-01 GENERAL INFORMATION, ELIGIBILITY, AND
ENTITLEMENT

o Chapter 1- General Overview

10.1 - Hospital Insurance (Part A) for Inpatient Hospital, Hospice, Home
Health and SNF Services - A Brief Description
10.2 - Home Health Services
10.3 - Supplementary Medical Insurance (Part B) - A Brief Description
20.2 - Discrimination Prohibited

• Pub. 100-02, MEDICARE BENEFIT POLICY MANUAL

o Ch 6 - Hospital Services Covered Under Part B

10 - Medical and Other Health Services Furnished to Inpatients of
Participating Hospitals