Current News



Functional Limitation Reporting Processing Issues

First Coast Service Options, National Government Services (NGS) and Novitas Solutions have announced that claims reporting Outpatient Therapy Functional G-codes and modifier information may be incorrectly receiving errors from the Common Working File (CWF) causing incorrect denials. The issues have been referred to CWF system maintainer for research and resolution. CWF has acknowledged an issue that is causing some of the incorrect denials and they are working on a resolution.  However, CWF is also researching other potential issues related to the G-code processing. Further instructions will be provided once CWF has completed their research and any required system corrections. Even

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CMS Releases Functional Limitation Reporting FAQs

On June 20, 2013, the Centers for Medicare & Medicaid Services released the long awaited FAQs on the new Medicare G Codes and mandated reporting of patient functional limitation that becomes mandated to report on July 1, 2013. The document contains 22 FAQs on topics including how to report functional limitations, use of assessment tools, and claim requirements. To access this member only benefit, click

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Functional Reporting

The Centers for Medicare and Medicaid Services will require providers to report patient functional status at certain intervals during their episode of treatment. This began on January 1, 2013 on a voluntary basis and will be mandated to be reported on claim forms and in the therapists documentation beginning on July 1, 2013 for all traditional Medicare patients. Plan on attending my webinar titled “2013 Medicare G Codes: Mandated Reporting of Patient Functional Status” to be held on April 24, 2013 from 1:00PM – 2:00PM EDT. For additional information and to register, click HERE.

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