Is Functional Limitation Reporting Ending
Is functional limitation reporting ending at the end of 2018? The answer depends on what insurance carrier you are asking about. For traditional Medicare Part B beneficiaries, functional limitation reporting (FLR)
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Does this apply for outpatient observation patients in the hospital as well?
This applies to outpatient therapy in all settings.
If a patient starts therapy or is in the middle of therapy care before Jan 1, will we need to add g-codes to end that encounter for services that go into Jan 2019?
No! Last date of service is December 31, 2018.
This may be a similar question but we’re an outpatient rehab facility that bills institutional but we get paid under Part B benefits. This still applies to us, correct? No more FLR?
This still applies to you.
How do we close out current charts with Gcodes at year end? Do we just quit using them as of January 1? Is there a discharge process?
You just stop using them and there is no DC process.
Is this the final ruling from CMS? I recall this was proposed but not finalized yet.
The information in this article is the information applicable to 2019. I would recommend you read this article as well:
https://gawendaseminars.com/2018/current-news-posts/cms-issues-final-rule-services-paid-mpfs-mips-pt-ot/
Does this apply to Medicare Advantage and supplemental plans?
Traditional Medicare Part B
Do we still need to do a progress note on the 10th visit? just no G-codes?
There are no changes to the Progress Report requirements in 2019 for Medicare Part B patients.
Can you please confirm that Gcodes for outpatient PT/OT/ST have been terminated by all Medicare plans effective 1/1/19?
Please read this article for your answer:
https://gawendaseminars.com/2018/current-news-posts/functional-limitation-reporting-ending/
What are the rules for Part A in regards to functional reporting?
Functional limitation reporting only applied to outpatient therapy services.
Can you confirm if any Medicare replacement plans and commercial carriers have done away with functional limitation reporting in 2020?
You would need to check with each insurance carrier.