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Recorded Webinar: Functional Limitation Reporting 2014 – What you Need to Know

Watch this webinar on G-code Reporting Regulations

Recorded: April 15, 2014

Presented by Heather Smith, PT, MPH, Director of Quality, APTA

Webinar Summary

Beginning Jan. 1, 2013, the Centers for Medicare and Medicaid Services (CMS) began collecting information regarding the beneficiaries’ function and condition, therapy services furnished and outcomes achieved on patient function on the claim forms. All practice settings that provide outpatient therapy services must include this information on the claim form. Specifically, the policy will apply to PT, OT, and SLP services furnished in hospitals, critical access hospitals, skilled nursing facilities, comprehensive outpatient rehabilitation facilities (CORFs), rehabilitation agencies, home health agencies (when the beneficiary is not under a home health plan of care), and in private offices of therapists, physicians and non-physician practitioners.

Participants will learn how to report patient functional limitation information on claims using the nonpayable functional G-codes and with the severity modifiers. In addition, common G-code mistakes will be discussed to assist professionals in avoiding reporting errors.

Attendees will:

  • Understand the components of functional limitation reporting
  • Recognize the functional limitation reporting categories and modifiers for 2014
  • Identify common functional limitation reporting errors

Who Should Watch?

Those working in all settings who bill under Medicare part B; supervisors, clinicians, administrators would benefit from viewing the webinar.

About the Presenter

Heather Smith serves as the Director of Quality for APTA. In her current role, Heather coordinates quality initiatives for the Association and develops and implements key member resources related to quality. Areas of focus in her work include the Physician Quality Reporting System (PQRS), the new Functional Limitation Reporting (FLR) requirements for therapy services under Medicare, and the APTA registry. Heather previously worked in the Quality Divisions of both New York Presbyterian Hospital and the University of Pennsylvania Health System. Her transition into quality was facilitated in part by the acquisition of her Masters in Public Health from Drexel University. Previous to her role in quality improvement, she was a practicing clinician for over ten years with the majority of her focus on orthopedics in the outpatient setting.

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