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Mediware updates industry-leading G-code tool to support new assessments

Written by: Dennis Stevenson Jr., MBA on Friday, May 26, 2017 Posted in:

physical therapy billing software

Based on user input, two new assessments have been added to the conversion tool

Functional limitation reporting (FLR) G-codes continue to be a challenge for many providers who bill for services under Medicare part B. The requirement to track G-codes and calculate severity code modifiers at designated points in the treatment burdens providers and creates a risk that important requirements will be missed when bills are submitted.

Mediware has developed a set of tools to help providers quickly and easily identify the correct modifier to apply to the FLR G-codes. More than 16,000 clinicians have downloaded the G-Code Modifier smart phone app on iOS or Android, and thousands more regularly use the online G-Code Calculator. And since June 2013, Mediware has translated more than 1.68 million assessments into the appropriate severity modifier codes.

Based on user suggestions, Mediware recently added two new assessments to the to the inventory used by the G-code calculator and smart phone app.

  1. Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs): The AusTOMS is used by occupational therapists, physiotherapists, and speech pathologists and measures 27 different scales across the disciplines on a scale of 0-5. The AusTOMs conversion will use any of these scales and calculate the appropriate severity modifier.
  2. Hardi Aged Care Physical Mobility Scale: This instrument is used by physical therapists and is represented by a scale of 0 to 45.

In addition to these two assessments, the Timed Up and Go (TUG) test was updated to a minimum scored value of 12 (seconds) to a maximum score of 21 (seconds). Scores of higher than  21 seconds should be reported as 21 seconds (0% impaired). This adjustment aligned the TUG with severity modifier conversions identified by CMS.

During the review, several other scales were not approved for inclusion in our G-code severity modifier tools. These instruments were identified as screening assessments as opposed to outcomes measures.

Mediware regularly reviews the suggestions submitted by conversion tool users to identify new instruments to incorporate. The total count of supported conversions is now 124 unique assessments and instruments used by PT, OT and speech therapists.


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