UnitedHealthcare (UHC) is delaying implementation of a plan to require functional limitation reporting (FLR) for physical therapy, and has not announced a new launch date. APTA remains opposed to UHC's intention to move to FLR.
UHC announced its original decision to implement FLR in May. The company had planned to require G-codes and severity/complexity modifiers on contracted PT claims with dates of service on or after August 1, 2014. Those changes have been put on hold indefinitely.
In a July letter, APTA urged UHC to stop its plan to implement the requirements, arguing that the difficulties experienced by physical therapists (PTs) during Medicare's changeover to the requirements, as well as limitations in data, made UHC's planned August 1 move ill-advised.
APTA offers a functional limitation reporting webpage that provides resources to help members understand these requirements.
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