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  • APTA Launches Functional Limitation Reporting Webpage

    APTA has launched a webpage with background information and resources, including a comprehensive FAQ document, to help physical therapists meet a new functional limitation reporting requirement. 

    The Centers for Medicare and Medicaid Services (CMS) will begin to collect information via claim forms on January 1, 2013, regarding the beneficiary's function and condition, therapy services furnished, and outcomes achieved. 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 will be returned unpaid.

    Additional resources will be added to the webpage in the coming months. Check back soon for a webinar update on Medicare 2013, podcasts on functional limitation reporting and case examples, and more.

    Registration Deadline for PQRS Audio Conference is November 12

    On November 15, APTA will hold an audio conference to help educate members on changes to the Physician Quality Reporting System (PQRS) for 2013. Physical therapists (PTs) who bill Medicare for outpatient physical therapy services in private practice settings (using the 1500 claim form or 837-P) can obtain a 0.5% bonus payment in 2013 under PQRS. In addition, PTs who successfully report under the PQRS program in 2013 will avoid the 1.5% reduction in payment from Medicare in 2015.

    Registration closes Monday, November 12. Register today.

    APTA's highlights of the 2013 final physician fee schedule rule provides details on PQRS,  claims and reporting requirements, and group measures.  

    Joint Commission Posts Prepublication Standards for PCMH Certification Options

    The Joint Commission recently posted prepublication standards for its Primary Care Medical Home (PCMH) Certification options for accredited hospitals and critical access hospitals

    The PCMH requirements relate to the following 5 operational characteristics:

    • patient-centered care
    • comprehensive care
    • coordinated care
    • superb access to care
    • systems-based approach to quality and safety

    The requirements are effective January 1, 2013.

    Launched in July 2011, PCMH Certification for Joint Commission-accredited ambulatory care organizations focuses on care coordination, access to care, and how effectively a primary care clinician and interdisciplinary team work in partnership with the patient (and where applicable, his or her family). PCMH certification is consistent with the new federal health care reform efforts to improve health outcomes and the continuity, quality, and efficiency of health care services.