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Tag: Functional Limitation Reporting

Functional Limitation Reporting: More Claims Problems

March 19, 2014 4 Comments
Functional Limitation Reporting: More Claims Problems

Functional limitation reporting: more claims problems are being officially reported today – Wednesday, March 19, 2014.   When will it stop? The better question is when will it be resolved?  In a recent post  on functional limitation reporting, I discussed problems that were reported in the common working file that are scheduled to be corrected on Monday, March […]

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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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Writing Functional Therapy Goals

March 11, 2014 9 Comments
Writing Functional Therapy Goals

Are you writing functional therapy goals?  I guess I better take that a step back and ask if you are accurately writing functional therapy goals for a Medicare Plan of Care.   Required elements of the Medicare Plan of care include 1) Diagnoses; 2) Long term treatment goals, and 3) Type, amount, duration and frequency of therapy […]

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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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Therapy Documentation Top 5 Best Practices

January 3, 2014 0 Comments
Therapy Documentation Top 5 Best Practices

The new year is a great time to focus on improving outpatient therapy documentation.  Through a series of complimentary webinars with Clinicient on functional limitation reporting, manual medical review and all things Medicare we presented documentation best practices.  Therapy documentation top 5 best practices grew out of what we learned from the first wave of manual […]

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Medicare Open Enrollment – Traditional Medicare & Medicare Advantage Options

October 6, 2013 0 Comments
Medicare Open Enrollment – Traditional Medicare & Medicare Advantage Options

Medicare open enrollment season is upon us.  No doubt when you are watching late night TV you are seeing all the ads from the likes of Humana and others targeting Medicare beneficiaries with the benefits of switching to a Medicare Advantage Plan (Medicare Part C).  Open enrollment starts October 15 and continues through December 7, […]

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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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