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

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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

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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

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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

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PTA Involvement in Reporting Functional Limitation Data

Written by Brooke Andrus on September 10, 2013

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)

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Could FLR Use a Makeover? MedPac Sure Thinks So.

Written by Erica Cohen on August 1, 2013

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

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How to Handle Claims Rejected for Lacking FLR

Written by Brooke Andrus on July 30, 2013

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,

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WebPT Members Get Jiggy with G-Codes

Written by Erica Cohen on July 18, 2013

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,

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The Three Most Important Things You Must Know About FLR

Written by Erica Cohen on June 4, 2013

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

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FLR, Therapy Cap, and Other Confusing Medicare Requirements

Written by Erica Cohen on May 31, 2013

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

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Why You Should Take the FLR High Road

Written by Brooke Andrus on May 28, 2013

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

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The Three Most-Missed FLR Quiz Questions

Written by Erica Cohen on May 20, 2013

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

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PQRS vs. FLR: What’s the Difference?

Written by Charlotte Bohnett on May 14, 2013

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

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The Basics of Functional Limitation Reporting

Written by Brooke Andrus on May 5, 2013

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

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Three Functional Limitation Reporting Pitfalls to Avoid

Written by Erica Cohen on March 17, 2013

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,

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The Therapist's Guide to
Functional Limitation Reporting