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…

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…