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  • New FLR Toolkit Walks You Through Requirements

    Are you ready for the July 1 functional limitation reporting (FLR) requirements? APTA has a new online toolkit that explains the rules, lists the codes you need to report, provides examples, and links to other resources.

    Beginning July 1, the testing period ends for reporting functional limitations on claim forms for all outpatient Medicare Part B patients—if the appropriate codes are not included in claims for patient visits on or after July 1, your claims will be returned unpaid. "Functional Limitation Reporting for Medicare Part B Patients: A Toolkit" will help you get started on the process and file your claims correctly.

    APTA members can access the toolkit free; it soon will also be available for sale to nonmembers through the APTA online store.

    More CMS Guidance on July 1 Functional Limitation Reporting Requirements

    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:

    • Therapy providers who have submitted functional limitation data (G-codes) on patients prior to July 1 will not need to restart functional limitation reporting on the first date of service on or after July 1. Instead, for these patients only, therapists can wait to submit functional limitation data until the next required reporting interval (eg, at the patient's 10th visit or at discharge).
    • For beneficiaries whose treatment began prior to July 1, but for whom functional limitation reporting information has not been submitted prior to July 1, therapists must submit data on the first claim with a date of service on or after July 1.
    • Functional limitation data will be required for all new patients as of July 1.

    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.

    Federal IT Spokesman Says No More Extensions for ICD-10

    The October 1, 2014, deadline for converting to ICD-10 from the ICD-9 medical coding system will not be extended again, according to Farzad Mostashari, MD, who said "There are no plans for any more extensions."

    Mostashari addressed this week's ICD-10 Forum hosted by the Healthcare Information and Management Systems Society and reported in Healthcare IT News.

    Mostashari oversees the Office of the National Coordinator for Health Information Technology, a division of the Department of Health and Human Services.

    HHS delayed implementation of ICD-10 for a year, from October 1, 2013, to address providers' concerns about administrative burdens. The 2013 deadline also was an extension from the October 2011 implementation date originally set by the rule adopted in January 2009.

    APTA's ICD-10 webpage has resources to help physical therapists understand the transition to the new code set.