G-codes Archives | Page 3 of 3 | WebPT

article

The Ultimate Functional Limitation Reporting Survival Guide

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):

  • 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.
Read More
article

Functional Limitation Reporting and You: What You Need to Know

Wow, can July 1 really be right around the corner? Seems like yesterday we were only finding out about the requirement to document and report functional limitation G-codes and severity/complexity modifiers, and I think it really was only yesterday that CMS figured out how they would work.

Read More
article

Gaming the System and Other FLR No-Nos

We all know that functional limitation reporting (FLR)  means (a little) more work for (basically) the same reward. And that can be a hard pill to swallow for many therapists who are already stretched thin as a result of increasing caseloads and increasingly stringent documentation requirements. Even so, taking the easy road—the low road—and gaming the system—and thus, this profession—is not the answer.

Read More
article

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. First, some handy dandy references for said example.

Read More
article

The Basics of Functional Limitation Reporting

Beginning July 1, 2013, CMS is requiring that you complete functional limitation reporting (FLR) on Medicare part B patients in order to receive reimbursement for your services. While WebPT can monumentally help with this task through our soon-to-be-released integrated functional limitation reporting feature, it’s important that you still understand FLR thoroughly, especially because clinical judgment does play a large role in its completion. So, with that in mind, let’s tackle the basics of FLR.

Read More
article

“What Box Does my G-Code Go Into?”: Responding to Outdated Questions Related to Paper Billing Claims

Members often ask: where does my G-code go? Or what box does my NPI go into? Additionally, we—as the WebPT Billing Service—receive such requests as “I need my facility address changed in Box 32” or “I need to use my Tax ID instead of my SSN in box 24j.” But these “boxes” that Members sometimes refer to don’t exist anymore in modern billing. In fact, they’ve become my personal four letter word. For a typical practice, 99% of claim submissions are electronic and sent in an ANSI 5010 837 format. If you are still printing paper claims for more than 1% of your payers, let’s be frank, you’re outdated. And in this situation, trust me, you don’t want to be outdated. 

Read More
article

February Medicare Webinar Q&A

ast month’s webinar on Medicare was our most highly attended webinar to date. And that’s really not surprising, because wherever Medicare goes, questions follow. But unfortunately, we couldn’t get to them all live. So we thought we’d put together a blog post will all the great questions you asked and our answers. That way, you can access it wherever, whenever you want. Ready to jump in? Here’s your Medicare Q&A. 

Read More
article

Back to Basics: Functional Limitation Reporting G-Codes

We’ve covered the ins and outs of G-codes as well as how it easy it will be to implement them successfully within WebPT—and why an integrated functional limitation reporting solution is the best solution. Today let’s go back to the G-code basics.

Read More
webinar background
article

Embracing Functional Limitation Reporting

Today’s blog post comes from WebPT Co-Founder Heidi Jannenga, PT, MPT, ATC/L. By now, I’m sure you’ve heard about functional limitation reporting—also known as claims-based outcome reporting (CBOR) and G-code reporting. Regardless of what your clinic calls it, functional limitation reporting is coming quickly.

Read More
article

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 these new codes into your documentation workflow.

Read More
article

Functional Outcome Measures

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 especially regarding demonstrating the medical necessity of the treatments provided.

Read More