Rebilling Therapy Services for Hospital Inpatients

40.8 – Rebilling Therapy Services for Hospital Inpatients (Rev. 2868, Issued: 02-06-14, Effective: 07-01-14, Implementation: 07-07-14) If a beneficiary receives therapy services during an inpatient hospital stay which was denied because the stay was not medically necessary, the therapy services may be rebilled under Medicare Part B coverage. If the therapy would have been reasonable and necessary as hospital outpatient services, and provided the beneficiary has Part B entitlement, the services can be billed using Type of Bill 012x. All payment and billing requirements for outpatient therapy (including therapy caps, functional reporting and other instructions in this chapter) apply to these claims.