Oops! You had your head in the proverbial sand regarding all of this functional limitation reporting mumbo jumbo, and now you need a crash-course—stat! Luckily for you, we’ve put together a quick study guide to help you cram for the big change. Think of it as your FLR CliffsNotes—a condensed summary of this new Centers for Medicare & Medicaid Services (CMS) requirement and what you need to do to stay compliant. So, let’s get to it. Here are the main things you need to know about functional limitation reporting (follow the links to learn more about each item):
- If you do not complete functional limitation reporting, CMS will not reimburse you for your services.
- Functional limitation reporting applies to all practice settings that provide outpatient therapy services.
- You must perform functional limitation reporting on all patients you bill under Medicare Part B.
- The functional limitation reporting mandate only applies to patients using Medicare proper as their primary or secondary insurance. It does not include patients with Medicare replacement or Medicare Advantage plans.
- If you have not already started completing functional limitation reporting for your Medicare patients, you must do so on a patient’s first claim with a date of service after July 1. (Tweet this!)