CHA News Article

CMS Issues FAQs on Functional Reporting for Outpatient Services
Includes details for submitting claims with functional limitations and severity modifiers

The Centers for Medicare & Medicaid Services (CMS) has published a new frequently asked questions (FAQ) document on the functional reporting requirements for Part B physical therapy, occupational therapy and speech/language pathology services.

Outpatient therapy providers were required to initiate reporting on the functional limitation and associated severity of the limitation on claims beginning Jan. 1. Effective July 1, submitted claims that do not include G codes representing the functional limitation and severity modifier will be returned to the provider but can be resubmitted with the information included. A copy of the current FAQ document is attached.