CMS to Host Conference Call on Functional Limitation Reporting Requirements on December 12
Physical therapists are encouraged to attend a conference call hosted by
the Centers for Medicare and Medicaid Services (CMS) on December 12, 1:30 pm
ET, that will cover the new functional reporting requirements for outpatient
physical therapy, occupational therapy, and speech language pathology services,
effective January 1, 2013.
Participants will learn how to report patient functional limitation information
on claims using the 42 new nonpayable functional G-codes and 7 new
severity/complexity modifiers on claims for physical therapy, occupational
therapy, and speech language pathology services. These G-codes and modifiers
will be required on selected claims for all outpatient therapy services. In
addition, the G-codes and severity modifiers used in the functional reporting
are required to be documented in the patient's medical record of therapy
services. To ensure a smooth transition, CMS sets forth a testing period from
January 1, 2013, until July 1, 2013. After July 1, 2013, claims submitted
without the appropriate G-codes and modifiers would be returned unpaid.
The call will include an overview of the new functional reporting requirement, including
effective dates, and information on:
- professionals
and providers affected
- nonpayable
G-codes used to report functional limitations
- modifiers
used to report the severity of functional limitations
- when
reporting is required
- documentation
requirements
A
question and answer session also will be held.
The
speaker for this call is Pamela R. West,
PT, DPT, MPH.
The
presentation for the call will be posted at least 1 day in advance of the call
on the FFS National Provider Calls
webpage. In addition, the link to the slide presentation will be e-mailed to
all registrants on the day of the call.
Registration will close at 12:00 pm ET on the
day of the call, or when available space has been filled.