Functional Limitation Reporting Under Medicare

FLR Reporting Issues

The payment adjustment phase of Functional Limitation Reporting (FLR) was scheduled to go into effect on July 1, 2013; however, this was delayed until October 1, 2013. Following the implementation phase of the payment adjustment APTA has become aware of systems issues that have resulted in processing delays and errors of some claims with FLR data. APTA has been working with Medicare central staff to resolve these issues.

Physical therapists (PTs) who are having issues with FLR claims should first review their claims for common errors and mistakes and then review the resources below that pertain to their challenge/situation.

APTA has highlighted a few of the more common FLR challenge areas and related strategies/resources to assist members with these issues below. Review the resources that pertain to your challenge/situation. If after doing so, APTA assistance or guidance is needed, please complete the online complaint form below. A member of APTA staff will contact you.


Strategies/APTA Resources With Answers   

Tracking of FLR Episode
(Including Discharge of Episodes)


Multiple Diagnoses and Plans of Care (POC)**

Case Scenarios

Podcast Reporting With Multiple Diagnosis or Multiple Plans of Care

Role of PTA in FLR

Podcast PTA Involvement in Reporting Functional Limitation Data

Unique Clinical Situations: Observation Status Patients, Rebilling


Current Status of Claims and FLR


Contact APTA Staff

  • Online Complaint FormNew

    Use this form as the starting point to gain assistance and/or guidance from APTA staff with issues you're experiencing with Medicare functional limitation process for 2013 or 2014.

General Information

Documentation Guidelines

Case Scenarios

Tests and Measures Resources

CMS Resources: Outpatient Therapy Services

Discussion Forum