The Centers for Medicare and Medicaid Services (CMS) has updated CMS Publication 100-02, Medicare Benefit Policy Manual, Chapter 15 – Covered Medical and Other Health Services as well as CMS Publication 100-04, Medicare Claims Processing Manual, Chapter 5 – Part B Outpatient Rehabilitation and CORF/OPT Services to reflect recent changes in outpatient therapy service billing instructions and payment policies related to the Bipartisan Budget Act of 2018 and the calendar year 2019 Medicare physician fee schedule final rule. To access the changes, log in to your Gold Member account and click

Since functional limitation reporting (FLR) (G-codes) is no longer required in 2019 for traditional Medicare Part B therapy patients, does this mean Progress Reports are also no longer required every 10 visits? The answer is

The Noridian Provider Outreach and Education (POE) staff is hosting an Outpatient Functional Therapy Reporting (FLR) webinar on June 27, 2018 at 2:30 p.m. Central Time. This session includes: Background and Purpose Provider Types Affected Functional Reporting Codes Claims Requirements Resources To sign up for this webinar, click HERE.

UnitedHealthcare Medicare Solutions has announced they have

UnitedHealthcare has announced they will implement the Medicare outpatient therapy functional limitation reporting effective with dates of service on and after

From APTA In response to concerns raised by APTA, providers, and other stakeholders, CMS has changed its functional limitation reporting instructions for claims submitted for each patient’s first visit on or after July 1, 2013. As a result of the change, therapy providers who have submitted functional limitation data (G-codes) on Medicare Part B patients prior to July 1

Cigna Government Services (CGS) invites you to participate in an Ask-the-Contractor Teleconference (ACT) specifically focused on the new claims-based data collection reporting requirement and changes to the manual medical review process for outpatient therapy services. The teleconference is scheduled for Thursday, May 23, 2013, from 9-10:30 a.m. CT/10-11:30 a.m. ET. Please mark your calendar and plan to participate in this call. No pre-registration is necessary. To join the teleconference, please click HERE and follow the instructions.

Cigna Government Services invites you to participate in an Ask-the-Contractor Teleconference (ACT) specifically focused on the new claims-based data collection reporting requirement and changes to the manual medical review process for outpatient therapy services. The teleconference is scheduled for Thursday, May 23, 2013, from 9-10:30 a.m. CT/10-11:30 a.m. ET. No pre-registration is necessary. To join the teleconference, please click HERE.