decisionhealth Newsletters, Coder Pink Sheets - 2013 Issue 6 (June)
Reminder to therapists: Starting July 1 those non-payable G-codes are required
Subscribe or sign in to view the full article.
Article Overview
This article is about Medicare therapy-claim functional reporting requirements and a CMS clarification affecting the transition from the phase-in period to mandatory reporting. It is relevant to physical therapists, occupational therapists, speech-language pathologists, billing staff, and coding professionals who work with Medicare claims. The piece focuses on the timing of required reporting, how ongoing episodes of care are handled, and what CMS said about claims submitted on or after July 1, 2013.
Why This Topic Matters
Incorrect or missing functional reporting can lead to claim denials for therapy services. The article helps readers understand the general Medicare policy update and the operational impact for practices that submit therapy claims.
What You Will Learn
- How Medicare’s therapy functional reporting requirement changes on July 1
- How CMS clarified reporting during the transition from the phase-in period
- How the policy affects therapy claims across major rehabilitation disciplines
- What general timing considerations apply to ongoing therapy episodes
Who Should Read This
- Physical therapists
- Occupational therapists
- Speech-language pathologists
- Medical billers and coders
- Therapy practice administrators
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com