decisionhealth Newsletters, Part B News - 2013 Issue 6 (June)
CMS: G-codes not required until next reporting if practice reported during testing
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Article Overview
This article summarizes CMS guidance on therapy functional reporting during the transition to the July 1 requirement. It explains how practices that reported during a testing phase should handle subsequent reporting, notes how claims are treated for patients without prior functional reporting, and references CMS and APTA guidance for therapy providers. The piece is relevant to therapists, billing staff, and revenue cycle teams tracking Medicare reporting requirements.
Why This Topic Matters
It helps therapy practices understand when functional reporting must resume for existing patients and how the July 1 transition affects claims processing and compliance.
What You Will Learn
- How CMS addressed therapy functional reporting during the transition period
- How the July 1 reporting change affects patients already receiving therapy
- How CMS describes initial functional reporting for patients without prior reporting
- Where CMS and APTA provided additional guidance on therapy claims and reporting
Who Should Read This
- Physical therapy practices
- Occupational therapy practices
- Speech-language pathology practices
- Billing and coding staff
- Revenue cycle teams
- Medicare compliance staff
Codes Discussed
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