Therapy Functional Reporting G Codes began on Jan. 1, 2013. CMS (Centers forMedicare & Medicaid Services) has allowed for a trial reporting period, meaning that therapists would not be penalized for incorrectly submitting or omitting G-codes until July 1, 2013.If G-codes are not properly submitted in documentation and billing after this date, therapists services claims will not be paid.Functional Reporting is required of: -Skilled Nursing Facilities (for beneficiaries in a Part B stay) -Rehabilitation Agencies -Home Health Agencies (for beneficiaries who are not under a Home Health plan of care, are not homebound, and whose therapy or other services are not paid under the Home Health prospective payment system) -CORFs (PT, OT, and SLP services) -Hospitals, including beneficiaries in Outpatient and Emergency Departments, and inpatients paid under Part B -Critical Access Hospitals -Therapists in Private Practice: Physical Therapists (PTs), Occupational Therapists (OTs), and Speech Language Pathologists (SLPs) -Physicians: Medical Doctors (MDs), Doctors of Osteopathy (DOs), Doctors of Podiatric Medicine (DPMs), and Doctors of Optometry (ODs) -NPPs: Nurse Practitioners (NPs), Clinical Nurse Specialists (CNSs), and Physician Assistants (PAs)This Application will help therapist understand billing for G-codes and remain complaint with CMS.G-Codes with short descriptors,Severity/Complexity Modifiers and some Functional Test and Measurement Tools are summarized in one page for easy access/reference.
Functional G-Codes (PT/OT/SLP)
