tci Outpatient Facility Coding Alert - 2012 Issue 3
Rehab Services: Look Ahead to Using New Functional Status Codes in 2013
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Article Overview
This article covers the upcoming CMS-related reporting changes for outpatient rehabilitation services in 2013. It is aimed at rehab providers, therapists, coders, and billing staff who need to understand the new functional status reporting framework, the categories of G codes introduced, the related modifiers, and the implementation timeline for claims reporting.
Why This Topic Matters
The change affects how outpatient rehab services document patient function and goals on claims, so facilities need to prepare staff, documentation workflows, and reporting practices ahead of the mandatory start date.
Article Sections
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Introduction to the new outpatient rehab reporting requirements
Overview of the coming documentation changes for outpatient rehabilitation services and the reason CMS is introducing them.
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Learn the new G codes for functional limitations
General explanation of the functional status reporting categories added for 2013 and how they are organized across different types of limitations.
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Append modifiers to add more clarity
Discussion of the additional modifiers that accompany the reporting framework and their role in describing levels of limitation.
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Start prepping now for mandatory usage
Implementation timing, education needs, and the transition period leading up to mandatory reporting.
What You Will Learn
- What the article says about the new outpatient rehabilitation reporting framework
- How the functional limitation categories are organized
- What broad types of modifiers are associated with the reporting changes
- When facilities are expected to begin using the new reporting approach
- Why provider and coder education is emphasized
Who Should Read This
- Outpatient rehabilitation providers
- Physical therapists
- Occupational therapists
- Medical coders
- Billing and claims staff
- Rehab compliance and documentation teams
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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