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8 Minute Rule - AMA v. CMS

Unfortunately, very few therapists understand the core differences between billing for insurances that follow AMA guidelines and insurances that follow CMS guidelines. Within your EMR, you should be able to set up and customize the billing and payer settings to ensure you are billing accurately and getting reimbursed properly for the services you have rendered. 

Please note: It is important for you or your billing team to verify with each insurance carrier to determine which guidelines they follow. 

Here are some side by side examples to ensure understanding. Please see our previous post here if you would like a more detailed breakdown.

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Example 1

Example 1

Example 2

Example 2