Reimbursement Rates for Outpatient Covered Services Sample Clauses

Reimbursement Rates for Outpatient Covered Services. The Reimbursement Rate for the provision of the Covered Services set forth in Table 2 of this Appendix rendered by Facility to an Enrolled Eligible Veteran on an outpatient basis (not during an Admission), will be as set forth in Table 2 of this Appendix. Facility is required to identify each date of service when submitting claims for Outpatient Covered Services spanning multiple dates of service. If more than one type of Service Category is provided to an Enrolled Eligible Veteran on an outpatient basis during one calendar day, United or Payer will pay facility for each Service Category. Table 2: Outpatient Covered Services Category Table SERVICE CATEGORY SERVICE CATEGORY DEFINITION PAYMENT METHOD REIMBURSEMENT RATE Physical Therapy Revenue Codes 0420, 0421, 0422, 0423, 0424, 0429 with applicable CPT/HCPCS codes Per Unit 100% of CMS Fee Schedule Occupational Therapy Revenue Codes 0430, 0431, 0432, 0433, 0434, 0439 with applicable CPT/HCPCS codes Per Unit 100% of CMS Fee Schedule Speech Therapy Revenue Codes 0440, 0441, 0442, 0443, 0444, 0449 with applicable CPT/HCPCS codes Per Unit 100% of CMS Fee Schedule