A new FAQ page within the Centers for Medicare and Medicaid Services (CMS) web resources on functional limitation reporting confirms an e-mail communication from earlier this week about changes to requirements for submitting claims for current patients. It also clarifies other details related to the requirements.
As a reminder, for patient visits on or after July 1, physical therapists must include the appropriate G-codes and modifiers to report functional limitation data in claims submitted for outpatient Medicare Part B beneficiaries, or claims will be returned unpaid. To reiterate the change for current patients, as APTA reported on Tuesday:
The document also includes additional details on code reporting for patients under 2 plans of care and coding for observation patients in the acute care setting.
For more information and resources on functional limitation reporting, please see APTA's Functional Limitation Reporting webpage, which includes a toolkit, links to PTNow's resources on appropriate tests and measures, and APTA's Functional Limitation Discussion Forum.
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