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Functional Limitation Reporting and You: What You Need to Know

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Tom AmburyWow, can July 1 really be right around the corner? Seems like yesterday we were only finding out about the requirement to document and report functional limitation G-codes and severity/complexity modifiers, and I think it really was only yesterday that CMS figured out how they would work.

Let me start by making sure you understand that functional limitation reporting (FLR) and PQRS are separate and distinct programs and that each program has its own set of codes to report. They are not the same. What I would like to do today is answer some common questions that I have received about FLR G-codes and modifiers. Let’s start with:

What’s important to know?

Participating in FLR is mandatory. Reporting the appropriate G-codes and modifiers is a condition of payment. Needless to say, anytime CMS modifies our condition of payment, we have to take it seriously. Fortunately, it is not that difficult to comply with these changes.

FLR and You

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