tci Outpatient Facility Coding Alert - 2014 Issue 2

Therapy: Here's How to Handle Extra Evaluations When Reporting Functional Limitation

Hint: Now you can report separate evaluations on progress report day. As the new functional limitation reporting (FLR) requirement for Medicare patients speeds ahead, more questions than answers are surfacing. You can only report one functional limitation for a reporting episode. However, functional limitation reporting is required any time you’re reporting an evaluative or re-evaluative procedure on a claim. That begs the question: How do therapists code for the additional evaluations and re-evaluations if they’re reporting the patient’s primary functional limitation? “Until now, you couldn’t do both on the same day,” explains Rick...

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