• 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 …

  • 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 , …

  • When to Report Discharge Codes with Functional Limitation Reporting Image

    articleMar 5, 2014 | 3 min. read

    When to Report Discharge Codes with Functional Limitation Reporting

    Lately, there’s been a bit of confusion surrounding Medicare’s requirements for submitting functional limitation reporting (FLR) discharge codes. Due to a “glitch” in the way Medicare processes claims containing FLR data, some therapists have received claim denials for cases involving tricky discharge reporting scenarios. So, we’ve put together a guide to address some common head-scratching situations. Read on to learn when you need to discharge and when you don’t. Patient Self-Discharges and Returns After 60 or More …

  • How to Complete Functional Limitation Reporting in WebPT Image

    articleFeb 19, 2014 | 4 min. read

    How to Complete Functional Limitation Reporting in WebPT

    As of July 1, 2013, the Centers for Medicare and Medicaid Services (CMS) requires that therapists complete functional limitation reporting (FLR)—through the use of  G-codes and severity modifiers —on all eligible Medicare Part B patients at the initial evaluation, re-evaluation if applicable, every progress note (minimum of every ten visits), and discharge in order to receive reimbursement for their services. Today, several other private insurance companies also require FLR data as a condition of reimbursement. Good thing …

  • Monitoring Your Clinic’s Medicare Compliance Within WebPT Image

    articleFeb 13, 2014 | 4 min. read

    Monitoring Your Clinic’s Medicare Compliance Within WebPT

    It appears we have a theme going this week. Brooke devoted  Monday  and  Tuesday  to discussing WebPT’s business reports. Yesterday, I showed you  the ins and outs of the Plan of Care Report . But monitoring your Medicare compliance doesn’t end there. Here are a few more helpful reports: Medicare Payment Adjustment Report (MPAR) The Medicare Payment Adjustment Report (MPAR) shows you how multiple procedure payment reductions (MPPR) are affecting your clinic’s profits and losses. Most practice …

Pages

Achieve greatness in practice with the ultimate EMR for PTs, OTs, and SLPs.