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H1
functional limitation reporting
is your clinic prepared for functional limitation reporting?
H2
from the blog
frequently asked questions
g-codes and severity modifiers for functional limitation reporting
check out these additional resources for more flr info
the therapist's guide to functional limitation reporting ×
×
H3
take the quiz
watch the webinar
get the guide
what are functional limitation g-codes?
hot off the presses: the details on the 2015 final rule
how to complete flr in six tricky situations
medicare isn’t the only payer requiring flr
functional limitation reporting glitches: past and present
new: how to complete functional limitation reporting at discharge so you get paid
how to complete functional limitation reporting with multiple plans of care
how to complete functional limitation reporting with multiple diagnoses under a single plan of care
how to complete functional limitation reporting at discharge so you get paid
reporting functional limitation data for observation patients in acute care settings
physical therapy and occupational therapy g-codes
speech-language pathology g-codes
functional limitation severity modifier codes
H4 beginning july 1, 2013, cms is requiring that you complete functional limitation reporting (flr) in order to receive reimbursement for your services.
have a question about flr? don't see your answer here?
mobility: walking & moving around
changing & maintaining body position
carrying, moving & handling objects
self care
other pt/ot primary functional limitation
other pt/ot subsequent functional limitation
swallowing
motor speech
spoken language comprehension
spoken language expression
attention
memory
voice
other speech language pathology
gawenda seminars
pt compliance group
more blog posts
H5
H6 written by lauren milligan on february 26, 2015
written by lauren milligan on november 13, 2014
written by brooke andrus on august 26, 2014
written by erica cohen on july 15, 2014
written by tom ambury on march 25, 2014
written by erica cohen on march 17, 2014
written by erica cohen on february 12, 2014
written by erica cohen on february 2, 2014
written by erica cohen on september 30, 2013
written by brooke andrus on september 19, 2013
strong
in order to receive reimbursement for your services
take the flr quiz now
watch the webinar now
get your guide now
three measures
ask your flr question
physical therapy and occupational therapy g-codes
speech-language pathology g-codes
functional limitation severity modifier codes
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menu #
flr quiz /quiz
webinar /webinar
take the flr quiz now /quiz
watch the webinar now /functional-limitation-reporting-webinar
get your guide now #
what is functional limitation reporting? #
who created flr? #
why functional limitation reporting? #
does flr apply to rehab therapists? #
how does flr work? #
what are g-codes and severity modifiers? #
what are the benefits of flr? #
when should my clinic be ready for flr? #
what changes do i need to make to my workflow to accommodate flr? #
how do i know if my clinic is compliant with flr? #
what's the easiest or fastest way to become compliant with flr? #
how does webpt handle flr better or differently than competitors? #
is this g-coding requirement applicable to home health pt/ot/st? #
once a patient with multiple functional limitations reaches goal status on his or her primary functional limitation, how do i switch the patient to a new primary functional limitation? can i do two progress notes in two successive visits? #
my clinic does not use a billing software that is compatible with webpt, so we do the slow data-entry method. how should the actual claim appear to medicare? can you give me an example of what a hcfa 1500 will look like for billing a visit to medicare? #
if a patient does not continue therapy, and i did not know in advance that his or her most recent visit would be the last, how should i complete the discharge note? #
how does one use an outcome measurement tool to find a percentage score and select the proper severity modifier? many functional tests don't directly produce a percentage that corresponds to severity modifiers. #
what should i do if a patient achieves the original goal of his or her primary functional limitation, but there is still potential for additional improvement? should i set a new goal or would it be necessary to "discharge" the first goal? #
what is cms? do most insurances require functional limitation reporting? #
where can i find a list of the g-codes and the severity/complexity modifier chart you have in the slide show? #
does the corresponding modifier need to be in the documentation or just on the claim forms? #
my understanding is that i must choose two (2) outcome measurements (that do not change) to report on for 2013 with 50% of my medicare patients. the g-code system sounds like you choose an outcome measurement test based on each specific pt. please clarify this for my pqrs reporting. #
we are a pediatric outpatient clinic. i keep hearing about functional limitation reporting and pqrs. i don't think this applies to us but want to be sure. we bill medicaid but not medicare. can you let me know if this is something we need to be concerned with? #
do you have a webinar on the pqrs medicare issue? i liked the functional limitation webinar. #
are there any non-medicare insurances that require functional limitation reporting? #
ask your flr question /ask-a-question
physical therapy and occupational therapy g-codes #ptgcodes
mobility: walking & moving around #walking
changing & maintaining body position #changing
carrying, moving & handling objects #carrying
self care #self
other pt/ot primary functional limitation #otherprimary
other pt/ot subsequent functional limitation #othersubsequent
speech-language pathology g-codes #slpgcodes
swallowing #swallowing
motor speech #motor
spoken language comprehension #comprehension
spoken language expression #spoken
attention #attention
memory #memory
voice #voice
other speech language pathology #otherslp
functional limitation severity modifier codes #modifiers

physical therapy and occupational therapy g-codes

mobility: walking & moving around

changing & maintaining body position

carrying, moving & handling objects

self care

other pt/ot primary functional limitation

other pt/ot subsequent functional limitation

speech-language pathology g-codes

swallowing

motor speech

spoken language comprehension

spoken language expression

attention

memory

voice

other speech language pathology

functional limitation severity modifier codes

×

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- http://www.webpt.com
functional limitation reporting http://www.functionallimitation.org/
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functional limitation reporting webinar http://www.functionallimitation.org/functional-limitation-reporting-webinar/
functional limitation reporting q&a webinar http://www.functionallimitation.org/functional-limitation-reporting-qa-webinar/
functional outcome measures webinar http://www.functionallimitation.org/functional-outcome-measures-webinar/
g-code list http://www.functionallimitation.org/complete-list-of-flr-g-codes-and-severity-modifiers/
faq http://www.functionallimitation.org/faq/
ask a question http://www.functionallimitation.org/ask-a-question/
blog http://www.functionallimitation.org/blog/
webpt member http://www.webpt.com
functional limitation reporting is here! ready to see it in action? http://www.functionallimitation.org/functional-limitation-reporting-webinar/
what are functional limitation g-codes? http://www.functionallimitation.org/what-are-functional-limitation-g-codes/
lauren milligan http://www.webpt.com/blog
continue reading http://www.functionallimitation.org/what-are-functional-limitation-g-codes/
hot off the presses: the details on the 2015 final rule http://www.functionallimitation.org/hot-off-the-presses-the-details-on-the-2015-final-rule/
lauren milligan http://www.webpt.com/blog
continue reading http://www.functionallimitation.org/hot-off-the-presses-the-details-on-the-2015-final-rule/
how to complete flr in six tricky situations http://www.functionallimitation.org/how-to-complete-flr-in-six-tricky-situations/
brooke andrus https://plus.google.com/u/0/105296553229653468031
continue reading http://www.functionallimitation.org/how-to-complete-flr-in-six-tricky-situations/
medicare isn’t the only payer requiring flr http://www.functionallimitation.org/medicare-isnt-the-only-payer-requiring-flr/
erica cohen https://plus.google.com/u/0/108213219587704450906
continue reading http://www.functionallimitation.org/medicare-isnt-the-only-payer-requiring-flr/
functional limitation reporting glitches: past and present http://www.functionallimitation.org/functional-limitation-reporting-glitches-past-and-present/
tom ambury http://www.ptcompliancegroup.com
continue reading http://www.functionallimitation.org/functional-limitation-reporting-glitches-past-and-present/
new: how to complete functional limitation reporting at discharge so you get paid http://www.functionallimitation.org/new-how-to-complete-functional-limitation-reporting-at-discharge-so-you-get-paid/
erica cohen https://plus.google.com/u/0/108213219587704450906
continue reading http://www.functionallimitation.org/new-how-to-complete-functional-limitation-reporting-at-discharge-so-you-get-paid/
how to complete functional limitation reporting with multiple plans of care http://www.functionallimitation.org/how-to-complete-functional-limitation-reporting-with-multiple-plans-of-care/
erica cohen https://plus.google.com/u/0/108213219587704450906
continue reading http://www.functionallimitation.org/how-to-complete-functional-limitation-reporting-with-multiple-plans-of-care/
how to complete functional limitation reporting with multiple diagnoses under a single plan of care http://www.functionallimitation.org/how-to-complete-functional-limitation-reporting-with-multiple-diagnoses-under-a-single-plan-of-care/
erica cohen https://plus.google.com/u/0/108213219587704450906
continue reading http://www.functionallimitation.org/how-to-complete-functional-limitation-reporting-with-multiple-diagnoses-under-a-single-plan-of-care/
how to complete functional limitation reporting at discharge so you get paid http://www.functionallimitation.org/how-to-complete-functional-limitation-reporting-at-discharge-so-you-get-paid/
erica cohen https://plus.google.com/u/0/108213219587704450906
continue reading http://www.functionallimitation.org/how-to-complete-functional-limitation-reporting-at-discharge-so-you-get-paid/
reporting functional limitation data for observation patients in acute care settings http://www.functionallimitation.org/reporting-functional-limitation-data-for-observation-patients-in-acute-care-settings/
brooke andrus https://plus.google.com/u/0/105296553229653468031
continue reading http://www.functionallimitation.org/reporting-functional-limitation-data-for-observation-patients-in-acute-care-settings/
2 http://www.functionallimitation.org/page/2/
3 http://www.functionallimitation.org/page/3/
» http://www.functionallimitation.org/page/2/
check out this blog post http://www.webpt.com/blog/post/back-basics-functional-limitation-reporting-g-codes
schedule your free demo today http://www.webpt.com/request-quick-and-easy-demo
schedule a demo today http://www.webpt.com/request-quick-and-easy-demo
schedule your free demo today http://www.webpt.com/request-quick-and-easy-demo
schedule your free demo today http://www.webpt.com/request-quick-and-easy-demo
http://www.functionallimitation.org/webinar http://www.functionallimitation.org/webinar
http://www.apta.org/payment/medicare/codingbilling/functionallimitation/ http://www.apta.org/payment/medicare/codingbilling/functionallimitation/
http://www.webpt.com/resources/webinars/taking-pain-out-pqrs-2013-0 http://www.webpt.com/resources/webinars/taking-pain-out-pqrs-2013-0
register here http://www.webpt.com/resources/webinars/get-ready-functional-limitation-reporting
schedule your no-hassle demo today to learn more. http://www.webpt.com/request-quick-and-easy-demo
- http://gawendaseminars.com/about-us
click here to go to gawenda seminars http://gawendaseminars.com/about-us
- http://www.ptcompliancegroup.com/blog
click here to go to pt compliance group http://www.ptcompliancegroup.com/blog
embracing functional limitation reporting http://www.webpt.com/blog/post/embracing-functional-limitation-reporting
functional outcome measures http://www.webpt.com/blog/post/functional-outcome-measures
ain't nothin' but a g-code, baby. what you need to know about the new g-codes http://www.webpt.com/blog/post/ain%e2%80%99t-nothin%e2%80%99-g-code-baby-what-you-need-know-about-new-g-codes
now that i know g-codes ain't no thang, how do i implement 'em? http://www.webpt.com/blog/post/now-i-know-g-codes-ain%e2%80%99t-no-thang-how-do-i-implement-%e2%80%98em
back to basics: functional limitation reporting g-codes http://www.webpt.com/blog/post/back-basics-functional-limitation-reporting-g-codes
webpt http://www.webpt.com

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| functional limitation reporting menu quiz webinars functional limitation reporting webinar functional limitation reporting q&a webinar functional outcome measures webinar g-code list faq ask a question blog is your clinic prepared for functional limitation reporting? beginning july 1, 2013, cms is requiring that you complete functional limitation reporting (flr) in order to receive reimbursement for your services.so how is your clinic gearing up for this change? if you're a webpt member, we're making it easy. take the flr quiz to test your knowledge or check out the webinar hosted by webpt co-founder heidi jannenga, pt, mpt, atc/l, to learn everything you need to know about the new reporting requirements as well as how to implement the new g-codes within webpt. take the quiz think you know functional limitation reporting? prove it with this ten question quiz. take the flr quiz now watch the webinar webpt co-founder heidi jannenga shows you everything you need to know about flr. watch the webinar now get the guide need to study before the quiz? get the ultimate guide to functional limitation reporting. get your guide now functional limitation reporting is here! ready to see it in action? from the blog what are functional limitation g-codes? written by lauren milligan on february 26, 2015 if you’re reading this post, you’re probably new to functional limitation reporting (flr), so let me take a moment to get you up to speed. according to an mln matters release from cms, “functional reporting applies to all claims for therapy services furnished under the medicare part b outpatient therapy continue reading hot off the presses: the details on the 2015 final rule written by lauren milligan on november 13, 2014 the 2015 final rule is out and there have been quite a few changes. as part of its push to usher all eligible professionals onto the registry-based reporting boat, cms has ramped up the requirements for satisfactory pqrs reporting—but that’s not all. now that we’ve got the details, we’ve summed continue reading how to complete flr in six tricky situations written by brooke andrus on august 26, 2014 it’s been more than a year since the centers for medicare & medicaid services (cms) began requiring that all eligible professionals—including outpatient rehab therapy providers—submit functional limitation reporting (flr) data as a condition of reimbursement. and with all of the g-codes that physical therapists, occupational therapists, and speech-language pathologists have continue reading medicare isn’t the only payer requiring flr written by erica cohen on july 15, 2014 on july 1, 2013, the centers for medicare and medicaid services (cms) began requiring that all clinicians who provide—and bill for—outpatient physical, occupational, and speech therapy services under medicare part b complete functional limitation reporting (flr) for all eligible medicare patients. as of last year, medicare began denying claims continue reading functional limitation reporting glitches: past and present written by tom ambury on march 25, 2014 today’s post comes from tom ambury, pt and compliance officer at pt compliance group at the beginning on january 1, 2013, the centers for medicare and medicaid services (cms) put functional limitation reporting requirements into effect—with a six month practice period—for pts, ots, and slps. as of july 1, 2013, all rehab continue reading new: how to complete functional limitation reporting at discharge so you get paid written by erica cohen on march 17, 2014 you may have recently heard about medicare’s functional limitation reporting (flr) code processing glitch—a glitch that has caused some rehab therapists to receive claim denials for cases where the discharge process was a bit out of the ordinary. to help you identify the discharge situations for which you should report—and continue reading how to complete functional limitation reporting with multiple plans of care written by erica cohen on february 12, 2014 this summer, cms made functional limitation reporting (flr) mandatory for all therapists who bill for outpatient services under medicare part b and wish to receive reimbursement. hopefully by now you know how this works (if not, check out this blog post), and it should be relatively simple?in theory, at least. continue reading how to complete functional limitation reporting with multiple diagnoses under a single plan of care written by erica cohen on february 2, 2014 this summer, cms made functional limitation reporting (flr) mandatory for all therapists who bill for outpatient services under medicare part b and wish to receive reimbursement. hopefully by now you know how this works (if not, check out this blog post), and it should be relatively simple?in theory, at least. continue reading how to complete functional limitation reporting at discharge so you get paid written by erica cohen on september 30, 2013 this summer, cms made functional limitation reporting (flr) mandatory for all therapists who bill for outpatient services under medicare part b and wish to receive reimbursement. by now—hopefully—you know how this works: whenever you conduct an initial evaluation (or reevaluation if medically necessary), complete a progress note (at minimum every continue reading reporting functional limitation data for observation patients in acute care settings written by brooke andrus on september 19, 2013 as of july 1, 2013, medicare requires that all rehab therapy providers billing under medicare part b submit functional limitation data for each beneficiary in the form of g-codes and corresponding severity modifiers. otherwise, medicare will not reimburse you for your services. observation patients in the acute care setting are not continue reading 1 2 3 » frequently asked questions what is functional limitation reporting? beginning july 1, 2013, cms is requiring that you complete functional limitation reporting (flr) on all medicare part b patients in order to receive reimbursement for your services. essentially, flr is a type of reporting focused on the progress of the patient through measurable goals and supporting documentation is required for reimbursement. who created flr? cms developed functional limitation reporting and they're enforcing noncompliance. why functional limitation reporting? cms created flr to collect information regarding beneficiaries' functions and conditions, the services therapists provide, and the functional outcomes patients achieve. cms will use all of this information to better understand the beneficiary population that uses therapy services and how their functional limitations change as a result of the therapy they complete. furthermore, cms will use the data they collect to reform future payment structures. does flr apply to rehab therapists? according to the apta, "all practice settings that provide outpatient therapy services must perform flr. specifically, flr applies to physical therapy, occupational therapy, and speech-language-pathology (slp) services furnished in hospitals, critical access hospitals, skilled nursing facilities, comprehensive outpatient rehabilitation facilities (corfs), rehabilitation agencies, home health agencies (when the beneficiary is not under a home health plan of care), and in private offices of therapists, physicians, and nonphysician practitioners." how does flr work? therapists will report functional limitations (current status and projected goal for initial examination and at minimum every tenth visit or progress note, and then discharge status and projected goal at discharge) using g-codes and corresponding severity modifiers for all eligible medicare patients. what are g-codes and severity modifiers? g-codes are quality data codes therapists will use to describe their patients' functional limitation—that is, the primary reason they're seeking therapeutic services. upon identifying the primary g-code, the therapist will select the corresponding g-code and then assign a severity modifier, which indicates the extent of the severity of the functional limitation. therapists select an appropriate severity modifier based on the score of an outcome measurement tool as well as their skilled clinical knowledge. lastly, therapists must also include a therapy modifier (go, gp, and gn) to indicate that they're providing therapy services under an ot, pt, or slp plan of care, respectively. for a full list of the flr g-codes and a severity modifier chart, check out this blog post. what are the benefits of flr? with flr, rehab therapists finally have an outlet to prove that what they do clinically is relevant and deserves payment. it's opportunity for rehab therapy professionals to demonstrate the value of their profession. flr also allows rehab therapists to incorporate clinical judgment to truly assess the severity of a patient's functional limitation without relying on patients' faulty self-assessments, and that leads to better, more effective treatment. when should my clinic be ready for flr? the sooner the better! but flr becomes mandatory on july 1, 2013. what changes do i need to make to my workflow to accommodate flr? first, you must complete functional limitation reporting for all medicare patients you treat. you'll denote current status and projected goal for the initial examination and at minimum every tenth visit or progress note. then, you'll note discharge status and projected goal at discharge. all of this you'll do using g-codes and corresponding severity modifiers. your documentation method will greatly influence how you will incorporate flr into your workflow. paper charting will prove the most cumbersome with flr as you'll need to constantly reference a g-code list and severity modifier chart until you have it all memorized. you'll also have to revise your paper charts to accommodate this reporting. if you document digitally, then it's crucial you have a conversation with your emr vendor to ensure they're entirely prepared for flr. depending on how they have flr set up within the system, you may need to adjust your workflow. webpt, on the other hand, has fully integrated flr into the entire soap note, meaning therapists' documentation style and flow can remain the same. see it for yourself; schedule your free demo today. how do i know if my clinic is compliant with flr? this also depends on how you document. if you chart on paper, then unfortunately, the only way you'll know if you're completing flr accurately is if cms reimburses you for your services—or doesn't. if you document digitally, then your emr should have alerts in place to ensure you're entirely compliant with your reporting. for example, webpt won't let you advance in your soap note or create new notes (i.e., initial exam, progress note, or discharge summary) without completing flr requirements. furthermore, with webpt, it's not possible to finalize a note without completing flr requirements. make sure you contact your emr vendor to determine what measures they have in place to ensure flr compliance. interested in seeing webpt's solution? schedule a demo today. what's the easiest or fastest way to become compliant with flr? the easiest and fastest way to become entirely compliant with flr is to let webpt do all the heavy lifting for you. we've already integrated flr into our application to ensure that all of our members are compliant by the time the mandated regulations go into effect. don't have webpt yet? we can have your clinic up and running in one day. schedule your free demo today. how does webpt handle flr better or differently than competitors? our solution is unique in its integration within the existing documentation framework. while most other emr systems make functional limitation reporting more of an accessory that appears at the end of a patient note, webpt has built it right into the documentation. this approach creates a stronger connection between functional limitation reporting and actual patient progress, thus maximizing the opportunity therapists now have to prove their effectiveness in treating and healing patients. don't have webpt yet? we can have your clinic up and running in one day. schedule your free demo today. is this g-coding requirement applicable to home health pt/ot/st? according to the apta, "all practice settings that provide outpatient therapy services must perform flr. specifically, flr applies to physical therapy, occupational therapy, and speech-language-pathology (slp) services furnished in hospitals, critical access hospitals, skilled nursing facilities, comprehensive outpatient rehabilitation facilities (corfs), rehabilitation agencies, home health agencies (when the beneficiary is not under a home health plan of care), and in private offices of therapists, physicians, and non-physician practitioners." based on this quote, home health agencies must perform functional limitation reporting when the beneficiary is not under a home health plan of care. once a patient with multiple functional limitations reaches goal status on his or her primary functional limitation, how do i switch the patient to a new primary functional limitation? can i do two progress notes in two successive visits? if a new functional limitation exists once the patient reaches the goal of their initial functional limitation, you'll take the following steps: discharge initial primary limitation. within the subjective section, determine and select a new functional limitation category. within the objective section, select a new appropriate functional assessment tool(s) or objective measure(s). then, based on the functional assessment tool(s), determine the severity of this new limitation and select the corresponding modifier. determine the new projected long-term goal based on the current functional limitation status and other patient information. find the appropriate g-code and modifier on your billing sheet. if you have integrated billing, these will then pass through the integration to the appropriate billing software: current status with severity modifier projected goal with severity modifier my clinic does not use a billing software that is compatible with webpt, so we do the slow data-entry method. how should the actual claim appear to medicare? can you give me an example of what a hcfa 1500 will look like for billing a visit to medicare? in submitting claims, you'll report flr g-codes as a separate line item. basically, you'll have your regular cpt codes indicating what you've done for the treatment, and then you'll list your g-codes as part your non-payable codes ($0.00 private or $0.01 institutional). functional limitation data is comprised of three pieces of info: g-code, severity modifier, and therapy modifier. for multiple page claims, complete total for item 27 on the last cms-1500 claim form. to see an example or hear heidi explain this all further, please watch our functional limitation reporting webinar here: http://www.functionallimitation.org/webinar if a patient does not continue therapy, and i did not know in advance that his or her most recent visit would be the last, how should i complete the discharge note? you would complete a quick discharge. this note would not contain the discharge g-code and severity modifier because you're not generating a claim for the visit. you would then explain in the notes about the patient not continuing therapy. cms would not assess a penalty for missing information because there would be no claim for the visit. how does one use an outcome measurement tool to find a percentage score and select the proper severity modifier? many functional tests don't directly produce a percentage that corresponds to severity modifiers. clinical judgment must always play a role in functional limitation reporting. upon selecting a patient's primary functional limitation, a therapist must select a corresponding modifier based on the combination of an outcome measurement tool and clinical judgment. in short, it's not about crosswalking a score for an objective measure to a category of severity. it's about demonstrating clinical expertise. what should i do if a patient achieves the original goal of his or her primary functional limitation, but there is still potential for additional improvement? should i set a new goal or would it be necessary to "discharge" the first goal? if, during a certain episode of care, you determine that a patient's projected goal is either too high or too low, you would simply change the goal status on the next progress note and document why in the note. what is cms? do most insurances require functional limitation reporting? cms is the center for medicaid and medicare services. clinics will only need to comply with functional limitation reporting if they see medicare patients. if your clinic doesn't see medicare patients, you won't need to worry about functional limitation reporting at this time. where can i find a list of the g-codes and the severity/complexity modifier chart you have in the slide show? feel free to download the slides at the top of this page. if you are an apta member, you can also get more info here: http://www.apta.org/payment/medicare/codingbilling/functionallimitation/ does the corresponding modifier need to be in the documentation or just on the claim forms? you must document the g-codes and modifiers in your notes and on your claim forms by july 1, 2013. my understanding is that i must choose two (2) outcome measurements (that do not change) to report on for 2013 with 50% of my medicare patients. the g-code system sounds like you choose an outcome measurement test based on each specific pt. please clarify this for my pqrs reporting. pqrs and functional limitation reporting requirements are completely separate medicare requirements for 2013. for pqrs, you must select three measures to report on for at least 50% of your medicare patients if you are using the claims-based reporting method. for functional limitation reporting, cms is not requiring a specific number of outcome tools you need to use to assess the functional limitation of your patients; that is up to you, as the pt. however, you must use functional limitation scoring as part of your assessment in determining your patient's severity impairment percentage and then report that to cms (in the form of a g-code and a corresponding severity modifier). we are a pediatric outpatient clinic. i keep hearing about functional limitation reporting and pqrs. i don't think this applies to us but want to be sure. we bill medicaid but not medicare. can you let me know if this is something we need to be concerned with? you are correct. currently, functional limitation reporting and pqrs are for medicare patients only. if you do not see medicare patients, you do not have any obligations to complete pqrs or functional limitation reporting at this time. do you have a webinar on the pqrs medicare issue? i liked the functional limitation webinar. you can watch our pqrs webinar here: http://www.webpt.com/resources/webinars/taking-pain-out-pqrs-2013-0 are there any non-medicare insurances that require functional limitation reporting? yes, there are some non-medicare insurance carriers that currently require functional limitation reporting or will require it in the near future. those that we know of are listed below. please keep in mind that this list is ever-changing, and there may be carriers requiring flr that are not listed here. bcbs medicare advantage (minnesota and idaho) medica medicare advantage (minnesota) geisinger gold medicare coventry texas workers' compensation health net medicare advantage mvp gold unitedhealthcare medicare solution (beginning august 1, 2014) have a question about flr? don't see your answer here? ask your flr question g-codes and severity modifiers for functional limitation reporting you've got a handle on functional limitation reporting (flr). you understand the how, the who, the why, and the when. all you need now are the actual g-codes and severity modifiers that you will use to complete the required reporting. to help you out, we compiled a comprehensive list of codes organized by category. six of the categories apply to physical and occupational therapy, while the other eight apply to speech-language pathology. remember, g-codes and accompanying modifiers must appear on claims in pairs. to receive reimbursement for their services, therapists must report these codes at the initial examination, at minimum every tenth visit (or progress note), and at discharge. listed below are the 42 new g-codes you'll use to denote primary functional limitations, followed by a table containing the seven flr severity modifier codes. physical therapy and occupational therapy g-codes mobility: walking & moving around changing & maintaining body position carrying, moving & handling objects self care other pt/ot primary functional limitation other pt/ot subsequent functional limitation speech-language pathology g-codes swallowing motor speech spoken language comprehension spoken language expression attention memory voice other speech language pathology functional limitation severity modifier codes physical therapy and occupational therapy g-codes mobility: walking & moving around g code description short descriptor g8978 mobility walking and moving around functional limitation, current status, at therapy episode outset, and at reporting intervals mobility current status g8979 mobility walking and moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting mobility goal status g8980 mobility walking and moving around functional limitation, discharge status, at discharge from therapy or to end reporting mobility discharge status changing & maintaining body position g code description short descriptor g8981 changing and maintaining body position functional limitation, current status, at therapy episode outset, and at reporting intervals body pos current status g8982 changing and maintaining body position functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting body pos goal status g8983 changing and maintaining body position functional limitation, discharge status, at discharge from therapy or to end reporting body pos discharge status carrying, moving & handling objects g code description short descriptor g8984 carrying, moving, and handling objects functional limitation, current status, at therapy episode, and at reporting intervals carry current status g8985 carrying, moving, and handling objects functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting carry goal status g8986 carrying, moving, and handling objects functional limitation, discharge status, at discharge from therapy or to end reporting carry discharge status self care g code description short descriptor g8987 self care functional limitation, current status, at therapy episode outset, and at reporting intervals. self care current status g8988 self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting self care goal status g8989 self care functional limitation, discharge status, at discharge from therapy or to end reporting self care discharge status other pt/ot primary functional limitation g code description short descriptor g8990 other physical or occupational primary functional limitation, current status, at therapy episode outset, and at reporting intervals other pt/ot current status g8991 other physical or occupational primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting other pt/ot goal status g8992 other physical or occupational primary functional limitation, discharge status, at discharge from therapy to end reporting other pt/ot discharge status other pt/ot subsequent functional limitation g code description short descriptor g8993 other physical or occupation subsequent functional limitation, current status, at therapy episode outset, and at reporting intervals sub pt/ot current status g8994 other physical or occupational subsequent functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting sub pt/ot goal status g8995 other physical or occupational subsequent functional limitation, discharge status, at discharge from therapy or to end reporting sub pt/ot discharge status speech-language pathology g-codes swallowing g code description short descriptor g8996 swallowing functional limitation, current status, at therapy episode outset, and at reporting intervals swallow current status g8997 swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting swallow goal status g8998 swallowing functional limitation, discharge status, at discharge from therapy or to end reporting swallow discharge status motor speech g code description short descriptor g8999 motor speech functional limitation, current status, at therapy episode outset, and at reporting intervals motor speech current status g9186 motor speech functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting motor speech goal status g9158 motor speech functional limitation, discharge status, at discharge from therapy or to end reporting motor speech discharge status spoken language comprehension g code description short descriptor g9159 spoken language comprehension functional limitation, current status, at therapy episode outset, and at reporting intervals spoken language comprehension current status g9160 spoken language comprehension functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting spoken language comprehension goal status g9161 spoken language comprehension functional limitation, discharge status, at discharge from therapy or to end reporting spoken language comprehension discharge status spoken language expression g code description short descriptor g9162 spoken language expression functional limitation, current status, at therapy episode outset, and at reporting intervals spoken language expression current status g9163 spoken language expression functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting spoken language expression goal status g9164 spoken language expression functional limitation, discharge status, at discharge from therapy or to end reporting spoken language expression discharge status attention g code description short descriptor g9165 attention functional limitation, current status, at therapy episode outset, and at reporting intervals attention current status g9166 attention functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting attention goal status g9167 attention functional limitation, discharge status, at discharge from therapy or to end reporting attention discharge status memory g code description short descriptor g9168 memory functional limitation, current status, at therapy episode outset, and at reporting intervals memory current status g9169 memory functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting memory goal status g9170 memory functional limitation, discharge status, at discharge from therapy or to end reporting memory discharge status voice g code description short descriptor g9171 voice functional limitation, current status, at therapy episode outset, and at reporting intervals voice current status g9172 voice functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting voice goal status g9173 voice functional limitation, discharge status, at discharge from therapy or to end reporting voice discharge status other speech language pathology g code description short descriptor g9174 other speech language pathology functional limitation, current status, at therapy episode outset, and at reporting intervals other speech language pathology current status g9175 other speech language pathology functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting other speech language pathology goal status g9176 other speech language pathology functional limitation, discharge status, at discharge from therapy or to end reporting other speech language pathology discharge status functional limitation severity modifier codes modifier impairment limitation restriction ch 0% impaired, limited, or restricted ci at least 1% but less than 20% impaired, limited, or restricted cj at least 20% but less than 40% impaired, limited, or restricted ck at least 40% but less than 60% impaired, limited, or restricted cl at least 60% but less than 80% impaired, limited, or restricted cm at least 80% but less than 100% impaired, limited, or restricted cn 100% impaired, limited, or restricted want an flr easy button? if you're a webpt member, you've got one. on may 17, webpt is rolling out a fully integrated functional limitation reporting solution. register here for our webpt + flr webinar on may 20 to see how easy it is to complete flr within your webpt documentation. not yet a member? schedule your no-hassle demo today to learn more. check out these additional resources for more flr info gawenda seminars click here to go to gawenda seminars pt compliance group click here to go to pt compliance group more blog posts embracing functional limitation reporting functional outcome measures ain't nothin' but a g-code, baby. what you need to know about the new g-codes now that i know g-codes ain't no thang, how do i implement 'em? back to basics: functional limitation reporting g-codes copyright 2016 webpt the therapist's guide to functional limitation reporting ×


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