functional limitationAs 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 Part B patient you see beginning July 1, 2013, you will not receive reimbursement for your services. For those of you who treat a high percentage of Medicare patients, successfully completing this requirement may mean the difference between keeping your lights on or closing your doors. Sounds daunting, right? It's actually not. Sure, the repercussions for non-compliance are severe, but it's really not that hard to be compliant—especially if you choose the right reporting tool, like WebPT's fully integrated EMR + functional limitation reporting.

Still getting up to speed on functional limitation reporting? Watch our free functional limitation reporting webinar or download the slides here.

Paper

The standard—unfortunately. Almost 70% of physical therapists are still documenting with pen and paper. However, as government mandates become increasingly more demanding, it's going to be increasingly more difficult to successfully meet all the requirements in order to receive reimbursement using this method. There's just too much room for error—illegible handwriting, transposing numbers, simply forgetting one little piece could all lead to missed reimbursements or even a full-scale audit. And you've got better things to worry about—like treating your patients.

Automatic Scoring G-Code Outcome Measurement Tools

You can implement tools such as FOTO (Focus on Therapeutic Outcomes) that will automatically score your outcome measurement assessment and provide you with the corresponding G-code. Unfortunately, though, these tools are not integrated with your documentation so you will still need to take the G-code (and corresponding CI modifier) and transfer it into your chosen documentation and billing process. Also, with tools like FOTO, you're required to use the functional outcome measurement tools they provide, which might mean you aren't able to use the tool that works best for you and your patient. And of course, it's an added expense. According to their website, FOTO is $50 per clinic and $25 per clinician per month in addition to a $250 one-time setup fee.

The Integrated Solution: WebPT's EMR + Functional Limitation Reporting

Not only will an electronic medical record provide you and your clinic with countless benefits—the most important of which is saving you time and money—but an EMR that integrates functional limitation reporting (WebPT) will also ensure you're staying Medicare compliant. And that is some serious weight off your shoulders. You document, and we'll remind you to select an outcome measurement tool. Then, we'll remind you to select a G-code and a severity modifier from an easy dropdown list. A few clicks plus some clinical judgment, and you're all set. You get to choose from any outcome measurement tool that exists, and we'll make sure your notes look picture perfect. And that means you'll get paid.

Want an even more fully integrated solution? Select WebPT's Billing Service and you're covered from all angles.

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  • articleNov 6, 2013 | 2 min. read

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    articleNov 28, 2012 | 5 min. read

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    Ain’t Nothin’ But a G-Code, Baby. What You Need to Know About the New G-Codes.

    Like the ’90s hip-hop-themed title of this blog post implies, Functional Limitation Reporting G-codes may be new, but they’re nothing to fret over. Essentially, effective July 1, 2013, CMS began requiring therapists to report new G-codes in an effort to further emphasize function and functional progress in therapy treatment. But the good news is that you should already be assessing—and documenting—functional progress as part of your short- and long-term goal setting at the initial evaluation, tenth visit …

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