• This Week in PT News, August 8 Image

    articleAug 8, 2014 | 2 min. read

    This Week in PT News, August 8

    UnitedHealthcare Delays Requirement for Functional Limitation Reporting UnitedHealthcare announced on Monday that it is delaying its plan to implement functional limitation reporting (FLR) for physical therapy. In May, UnitedHealthcare announced that it would require FLR starting in August 2014. Since announcing the delay, the carrier has not released a new implementation date. Read more about the delay here . Physical Therapy and Corticosteroid Injections Offer Equal Relief from Shoulder Pain According to an article published in the …

  • Common Questions from our G-Code Denials Webinar: Part 2 Image

    articleJul 30, 2014 | 4 min. read

    Common Questions from our G-Code Denials Webinar: Part 2

    I heard that some private insurance carriers are now requiring functional limitation reporting. Is this true? Some non-Medicare insurers do require functional limitation reporting (e.g., Texas Workers' Compensation). Check out this blog post to see a list of the ones we know about right now. Keep in mind, however, that this list is ever-changing—so if you’re unsure of whether a particular plan requires FLR, be sure to inquire directly with the carrier. If I did not submit …

  • Common Questions from our G-Code Denials Webinar: Part 1 Image

    articleJul 29, 2014 | 6 min. read

    Common Questions from our G-Code Denials Webinar: Part 1

    Today’s blog post comes from WebPT writers Brooke Andrus and Erica Cohen. If a patient has more than one functional limitation associated with a single diagnosis, should I report G-codes and severity modifiers for all of them? No. Medicare will only accept functional limitation reporting (FLR) data for one primary functional limitation per case. Therefore, if the patient has multiple functional limitations associated with a single diagnosis, you'll need to determine which one represents the patient's primary …

  • Stop the Denials! How to Report G-Codes so You Get Paid. Image

    webinarJul 25, 2014

    Stop the Denials! How to Report G-Codes so You Get Paid.

    It’s been more than a year since Medicare’s functional limitation reporting (FLR) mandate went into effect. You’d think everything would be hunky-dory by now. Unfortunately, though, rehab therapists have been forced to navigate more than a few hiccups and glitches—many of which cause claim denials. Exasperating? Certainly. Insurmountable? No way, José! Join WebPT founder and COO Heidi Jannenga and PT compliance expert Rick Gawenda of Gawenda Seminars as they tackle Medicare’s many FLR curveballs. In addition to …

  • This Week in PT News, July 25 Image

    articleJul 25, 2014 | 2 min. read

    This Week in PT News, July 25

    APTA Opposes UnitedHealthcare's Plan to Require Functional Reporting On Monday, July 21, the APTA announced that they have sent a letter to UnitedHealthcare urging the carrier to halt plans to implement functional reporting on August 1, 2014. The APTA argues this move is ill-advised due to the burden it will create for therapists and lack of data regarding the effectiveness of functional limitation reporting. Read more on the APTA’s stance on UnitedHealthcare’s decision here Little League Shoulder …

  • Blue Cross Blue Shield and Other Payers Add FLR to Select Plans Image

    articleJul 2, 2014 | 2 min. read

    Blue Cross Blue Shield and Other Payers Add FLR to Select Plans

    As of July 1, 2013, the Centers for Medicare and Medicaid Services requires that all practice settings providing outpatient therapy services—and billing for those services under Medicare Part B—complete functional limitation reporting (FLR) on all eligible Medicare patients in order to receive reimbursement for their services. From the initial whispers of FLR, we’ve explained that private payers will most likely follow Medicare’s lead , and indeed they have. In the months since FLR became mandatory, a handful …

  • Founder Letter: Happy One-Year FLR Anniversary Image

    articleJul 1, 2014 | 3 min. read

    Founder Letter: Happy One-Year FLR Anniversary

    Today marks the one-year anniversary of the mandatory implementation of functional limitation reporting (FLR). While it might not be an occasion worthy of streamers, cake, and noisemakers, this anniversary definitely warrants a moment of reflection. Despite the months-long FLR testing period, July 1, 2013, still hit our industry like a punch to the gut. Assuming you’re a medical professional who provides outpatient therapy services to Medicare patients, you may have experienced this FLR gut punch, too. Since …

  • This Week in PT News, June 6 Image

    articleJun 6, 2014 | 2 min. read

    This Week in PT News, June 6

    Physical Therapist and Orthopedic Surgeon Create Pitching App Dr. James Andrews, an orthopedic surgeon, and Dr. Kevin Wilk, his longtime physical therapist colleague, recently created an app called Throw Like a Pro, which they specifically designed to prevent overuse injury in baseball players. This app not only offers tips and exercises for pitchers, but also calculates the amount of rest time they should have based on their age. Read more about this new app and how it …

  • Update: New Details on Functional Limitation Reporting Issues Image

    articleMay 12, 2014 | 11 min. read

    Update: New Details on Functional Limitation Reporting Issues

    In February, we posted a blog post about a glitch in Medicare’s processing system that was causing claim denials in certain functional limitation reporting cases—specifically, in cases involving complex discharge or treatment scenarios. You can read that blog post in its entirety here . It is imperative to remember that Medicare can only accept data for one functional limitation per patient regardless of how many concurrent cases exist for that patient. Since writing our original post , …

  • Evolve 2014 San Diego Video Recap Image

    articleApr 7, 2014 | 2 min. read

    Evolve 2014 San Diego Video Recap

    We really appreciate everyone who attended our last Evolve session in San Diego. For those who missed the event or would like to relive it, we captured all of the presentations on video. So, grab some popcorn and settle in for a wealth of advice to help you improve your private practice’s bottom line.   WebPT and Culture: A Tale of Rapid Growth by Heidi and Brad Jannenga In this presentation, WebPT Co-Founders Heidi and Brad Jannenga …

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