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Tag: FLR

Functional Limitation Reporting Claim Rejections

March 13, 2014 8 Comments
Functional Limitation Reporting Claim Rejections

Will it ever stop?  The problems with functional limitation reporting claim rejections that is.  Grant it, there are some confusing scenarios that create provider side problems in coding, but the bigger issue is the continued problems with CMS and the Medicare Administrative Contractors adjudicating claims.  Because of the difference in reporting and adjudication for those reporting on the […]

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Functional Limitation Reporting Trouble With Unplanned Discharges

March 3, 2014 2 Comments
Functional Limitation Reporting Trouble With Unplanned Discharges

Trouble, trouble I say in River City, that is trouble everywhere you look with functional limitation reporting and unplanned discharges.  Not quite the problem that Professor Harold Hill faced, but let’s sing along with a chorus of  “76 Trombones”. In a nice neat world, all patients continue with therapy until their planned discharge, and there […]

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Medicare G Code Confusion

January 30, 2014 8 Comments
Medicare G Code Confusion

Hum along with me, Big Bird, Grover, Cookie Monster, and the cast of Sesame Street in the Alphabet Song.  Are you humming?  A – B – C – D – E – F – G…………. Ok, stop right there!  Which “G” did you mean?  One of 42 functional limitation reporting G codes for PT and […]

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Make Therapy PQRS Simple

January 28, 2014 1 Comment
Make Therapy PQRS Simple

Make Therapy PQRS Simple.  Confused?  PQRS reporting must be implemented by private practice therapists to stave off future payment penalties.  Over the years since its inception this quality reporting program on an annual basis has had different quality reporting measures, different bonus structures, varied reporting methods, varied future payment penalties and a whole lot more.  For therapy providers […]

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New Year for Therapy Outpatients: Five Things You Need to Know

January 2, 2014 0 Comments
New Year for Therapy Outpatients: Five Things You Need to Know

Happy New Year to Providers, and Happy New Year to all of our outpatients receiving physical therapy, occupational therapy and/or speech therapy.  At the start of the New Year, there are 5 critical elements to focus on with Medicare beneficiaries.  So let’s take a look at the New Year for therapy outpatients. The therapy caps […]

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Functional Limitation Reporting Requirements – Update from CMS

July 31, 2013 0 Comments
Functional Limitation Reporting Requirements – Update from CMS

CMS issued a MLN Matters Special Edition Article SE1307 to update functional limitation reporting requirements.  The issues date is 7/30/2013, the effective date is 7/2/2013.  Clarification was issued in the following areas (from the article): A reporting episode links a beneficiary to a specific therapy billing provier NPI.  In order to track beneficiary functional limitations, […]

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Mandatory Functional Limitation Reporting: Report or Reject on July 1, 2013

June 24, 2013 0 Comments
Mandatory Functional Limitation Reporting: Report or Reject on July 1, 2013

The final week of “practice” functional limitation reporting is beginning.  For providers who have been reporting with no problems, you are relieved to know that you can just continue with patients after July 1st in the normal progress reporting periods.  For providers that used the practice period from January 1st through the end of this […]

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Functional Limitation Reporting FAQ Posted by CMS – Part B Therapy Providers Important Update

June 20, 2013 2 Comments
Functional Limitation Reporting FAQ Posted by CMS – Part B Therapy Providers Important Update

A much awaited Frequently Asked Questions – FAQ – document on Functional Limitation Reporting (FLR) was posted by CMS to provide clarifications to provider questions brought up during the 6 month testing phase which began on January 1, 2013.  Providers that have already been reporting on patient functional limitations, via G codes and impairment modifiers, […]

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Functional Limitation Reporting – July 1st Start Modification Update: Again!

June 18, 2013 1 Comment
Functional Limitation Reporting – July 1st Start Modification Update: Again!

CMS has clarified in an email to APTA that beginning July 1, 2013 “…therapy providers who have submitted functional limitation data (G-codes) on Medicare Part B patients prior to July 1 will not need to restart functional limitation reporting on the first date of service on or after July 1.”  For these patients only providers are […]

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Functional Limitation Reporting – Time to Start – or Restart – July 1, 2013

June 12, 2013 2 Comments
Functional Limitation Reporting – Time to Start – or Restart – July 1, 2013

The January 1 – June 30, 2013 testing phase for functional limitation reporting is about to come to a close.  Just when the therapy community was poised to transition in to the mandatory phase of functional limitation reporting (FLR) on Monday July 1st, CMS made a few statements in the Physician’s Open Door Forum (ODF) […]

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