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.
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.
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
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
The requirements are effective January 1, 2013.
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
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