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.


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

    Functional Limitation Reporting in a Nutshell

    Hopefully, you’ve been working your functional limitation reporting (FLR) magic for months now, so you’ve got it down pat. If not, you’re probably running into more than your fair share of claim denials. Don’t worry; we’re here to help. Here are some FLR basics in a convenient chestnut shell. (It is almost that time of the year , after all). What is FLR? Beginning July 1, 2013, the Centers for Medicare and Medicaid Services (CMS) require that …

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    articleMay 22, 2013 | 12 min. read

    Most Frequently Asked Questions From Our Functional Limitation Reporting Webinars

    Today's blog post comes from WebPT Senior Writer Charlotte Bohnett, contributing writer Erica Cohen, and WebPT Co-Founder Heidi Jannenga, PT. Monday and Tuesday we hosted webinars on functional limitation reporting. We got tons of great questions. Here are the most frequently asked ones: The Basics 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 …

  • articleNov 7, 2013 | 2 min. read

    FLR and PQRS: How Are They Different?

    Functional limitation reporting (FLR) and PQRS both fall under the ever-widening umbrella of Medicare regulations, and they both involve outcome measures and data codes. Still, they are completely separate requirements, each with its own set of rules. Confusing, we know. To help you sort out the differences, we’ve put together a short breakdown of each one as well as a detailed compare/contrast chart: The Basics of FLR On July 1, 2013, Centers for Medicare & Medicaid Services …

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    articleMay 9, 2013 | 5 min. read

    Functional Limitation Reporting: Patient Example

    With July 1 right around the corner, we know what’s on your mind: functional limitation reporting (FLR). That’s why we’ve dedicated (almost) this entire month to the ins and outs of G-codes and severity modifiers. But perhaps our discussions have been a little too theoretical for your liking. (We know FLR is one spicy meatball .) If that’s the case, don’t fret. Here’s a more concrete patient example to help solidify your understanding of CMS’s latest regulation. …

  • articleNov 21, 2013 | 4 min. read

    How an EMR Helps You Stay Medicare Compliant

    Confidence and compliance are two words rehab therapists rarely put in the same sentence. Sure, they know that therapy cap requirements, functional limitation reporting , PQRS , the 8-minute rule , and MPPR are all Medicare regulations. But beyond that, memories get a bit fuzzy—and that’s understandable. It’s a lot to keep straight, let alone accurately follow. Yet, Medicare requires compliance; otherwise, they’ll deny payment or dole out fines. They don’t care that you’re busy treating patients, …

  • Functional Limitation Reporting Refresher Image

    articleDec 12, 2016 | 4 min. read

    Functional Limitation Reporting Refresher

    The rehab therapy industry is abuzz with PQRS talk right now. In case you missed it: PQRS as it exists today is dunzo . In 2017, it’ll be replaced with the Merit-Based Incentive Payment System , or MIPS. Unfortunately, though—and yes, it is unfortunate —PTs, OTs, and SLPs are not required to complete MIPS reporting until 2019. (And the jury is still out as to whether they’ll be able to voluntarily participate before then.) All outpatient rehab …

  • articleJan 3, 2013 | 2 min. read

    Now That I Know G-Codes Ain’t No Thang, How Do I Implement ‘Em?

    Last month, we discussed CMS’s new G-codes in a cleverly titled post, “ Ain’t Nothin’ But a G-Code, Baby. ” As the name implies, this new functional limitation reporting mandate is not nearly as daunting as you may think. In fact, if you use WebPT, it’s going to be as easy as pie—cherry pie, or maybe apple. Regardless, I digress. Here, we’ll discuss how with just a few clicks, and some clinical judgment, you can easily implement …

  • articleJul 3, 2013 | 5 min. read

    Most Frequently Asked Questions From June’s FLR Webinar

    Last month, WebPT hosted another fantastic functional limitation reporting (FLR) webinar . If you missed it or simply want a refresher, this post is for you. Here were the most frequently asked questions and answers: Q: How do I handle functional limitation reporting after July 1 for a current patient with no FLR data on record? A: If you haven't submitted functional limitation reporting data on a patient prior to July 1, you should submit it (current …

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    articleNov 28, 2012 | 5 min. read

    Functional Outcome Measures

    Today's post comes from Tom Ambury, PT and compliance officer at  PT Compliance Group , based off this month’s “Compliance Chat” blog post . By now, I hope most of you are using functional outcome measures. If you haven’t started yet, you might want to consider taking the next few weeks to get prepared and begin the process in January of 2013. Why? Let’s start with the fact that physical therapy documentation is coming under greater scrutiny …

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