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
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
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
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
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
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
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.
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.
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
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
The rules on functional limitation reporting (FLR) make it clear that clinical judgment is essential to the reporting process, and that means therapist participation is essential, too. In other words, a physical therapist must perform any FLR steps involving clinical assessment. You might think that takes physical therapy assistants (PTAs)
By now, you’re probably a functional limitation reporting (FLR) pro. But, just in case you’ve been living under a rock or out of the country for the last few months, below is our summary of the most recent Medicare Learning Network Matters newsletter from the Centers for Medicare & Medicaid
By now, you know everything there is to know about functional limitation reporting (FLR)—almost. You know what to report, when to report it, and how to report it. You know what to do if you receive a claim rejection from Medicare. You even know the very best way to stay
The July 1 deadline for functional limitation reporting (FLR) compliance has come and gone, and for those who neglected to include G-codes and severity modifiers on their Medicare claims, the rejection letters are now rolling in. Does this sound like a page from your life story? If so,
In mid-May WebPT rolled out integrated functional limitation reporting (FLR) to more than 21,000 therapists—PTs, OTs, and SLPs—at over 4,000 clinics across the US and Canada. Then, in mid-June, we thought we’d take a look at the G-code numbers. So what did we find? WebPT therapists selected almost 130,000 G-codes,
What is FLR?
Functional Limitation Reporting is a new Centers for Medicare & Medicaid Services (CMS) reporting regulation for rehab therapists (PTs, SLPs, and OTs) providing outpatient therapy services to Medicare beneficiaries. To comply, you must send CMS functional limitation data at each evaluative visit (initial exam or re-exam, every tenth
What is FLR?
Functional Limitation Reporting is a new Centers for Medicare & Medicaid Services (CMS) reporting regulation for rehab therapists (PTs, SLPs, and OTs) providing outpatient therapy services to Medicare beneficiaries. To comply, you must send CMS functional limitation data at each evaluative visit (initial exam or re-exam, every tenth
What is FLR?
Functional Limitation Reporting is a new Centers for Medicare & Medicaid Services (CMS) reporting regulation for rehab therapists (PTs, SLPs, and OTs) providing outpatient therapy services to Medicare beneficiaries. To comply, you must send CMS functional limitation data at each evaluative visit (initial exam or re-exam, every tenth
What is FLR?
Functional Limitation Reporting is a new Centers for Medicare & Medicaid Services (CMS) reporting regulation for rehab therapists (PTs, SLPs, and OTs) providing outpatient therapy services to Medicare beneficiaries. To comply, you must send CMS functional limitation data at each evaluative visit (initial exam or re-exam, every tenth
Ever since CMS announced the implementation of functional limitation reporting (FLR), people in our industry have been looking for ways to get by without complying. And because they couldn’t find a way to completely avoid FLR—and still get paid—they found a way to cheat. It’s what’s now known in the
There’s a lot of information out there about functional limitation reporting—a lot—so if you’re overwhelmed, that’s okay. We get it. That’s why we’ve created a host of awesome resources to help you better understand the swirling, hurling, storm of FLR—making landfall near you on July 1. Hurricane analogies aside, if
By now, (I sincerely hope that) you’ve heard about the latest in a long line of increasingly stringent Medicare compliance documentation regulations: functional limitation reporting (aka FLR). If not, and if you bill for Medicare Part B patients in an outpatient physical, occupational, or speech therapy setting, then you’ll probably
Most rehab therapists aren’t exactly jumping for joy over functional limitation reporting (FLR). Yes, it requires that you invest a little more time and effort for basically the same return, putting even more strain on schedules and resources that are already stretched to the max (or at least it feels
Recently, we published a functional limitation reporting (FLR) quiz so you could test your knowledge of all things functional. Most of you did pretty well—almost 2,000 people took the quiz with an average score of 70% + the bonus question. And if you didn’t do so well—you know who you
While both PQRS and functional limitation reporting are reporting requirements mandated by CMS, they are completely separate. In this blog post, I’ll explain how they differ.
What’s FLR?
Beginning July 1, 2013, CMS is requiring that PTs, OTs, and SLPs complete functional limitation reporting (FLR) on Medicare part B patients in order
The Centers for Medicare and Medicaid Services (CMS) will require functional limitation reporting (FLR) on all Medicare beneficiaries seeking therapy treatment on or after July 1, 2013. Failure to comply with this mandate will result in automatic claim denial, meaning you won’t receive reimbursement for your services. WebPT’s fully integrated
As many of you already know, CMS will begin mandating functional limitation reporting on July 1, 2013. In short, this means that if you do not successfully complete functional limitation reporting (in the form of G-codes and corresponding severity modifiers) for every eligible Medicare patient you see beginning July 1,
