Functional Limitation Reporting Quiz

  1. At which visits must a rehab therapist complete functional limitation reporting in order to remain compliant? (check all that apply)

    • As the therapist sees fit
    • At initial examination
    • Every ten visits minimum
    • At discharge
    • Every visit
  2. At an initial examination, a rehab therapist identifies that a patient's functional limitation is mobility: walking and moving around. Which G-code(s) should the therapist report? (check all that apply)

    • G8978 Mobility: walking and moving around functional limitation, current status, at therapy episode outset and at reporting intervals.
    • 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.
    • G8980 Mobility: walking and moving around functional limitation, discharge status at discharge from therapy or to end reporting.
  3. What two other code types must accompany each G-code for complete functional limitation reporting? (check all that apply)

    • Severity/complexity modifiers (CH, CI, CJ, CK, CL, CM, CN)
    • Therapy modifiers (GO, GP, GN)
    • PQRS G-codes
    • KX Modifier
    • Modifier 59
  4. How many primary functional limitations can a rehab therapist report on at a given time?

    • One
    • Two
    • Three
    • Four
  5. What should a therapist do if a patient meets his or her functional limitation reporting goal?

    • Continue to treat the patient for the current primary functional limitation.
    • Discharge the patient unless the patient requires additional therapy for another functional limitation.
    • Discharge the patient no matter what.
  6. How does a clinician determine which severity modifier to assign to a patient?

    • By performing an outcome measurement tool and using the results of that tool plus clinical judgment to determine an appropriate modifier.
    • By performing a visual examination of the patient.
    • By using a functional limitation reporting calculator alone.
    • By asking another clinician.
  7. At a patient's tenth visit (assuming that you are not discharging the patient or transitioning to a new primary functional limitation), how many G-codes and severity modifiers must appear on the progress note?

    • One G-code and two severity modifiers
    • Two G-codes and two severity modifiers
    • Two G-codes and one severity modifier
    • One G-code and one severity modifier
  8. Does a therapist need to complete functional limitation reporting for a patient who has Medicare and a supplemental insurance plan?

    • Yes
    • No
  9. Rehab therapists must complete functional limitation reporting on what percentage of Medicare patients each year?

    • 20%
    • 50%
    • 80%
    • 100%
  10. What happens if a rehab therapist does not complete functional limitation reporting after the mandatory date?

    • CMS applies a 1.5% penalty to the 2015 fee schedule.
    • Nothing; the penalty goes into effect in 2014.
    • CMS will not reimburse for services without complete functional limitation reporting.
  11. Bonus: On what date will functional limitation reporting become mandatory?

    • June 1, 2013
    • July 1, 2013
    • October 1, 2013
    • December 1, 2013
  12. What's your email?

    Please enter a valid email address.

The Therapist's Guide to
Functional Limitation Reporting