Have you received flyers about the Functional G-Codes Claims Based Reporting that is required to implement no later than July 2013? This information was introduced in the 2012 proposed rule of the Physician Fee Schedule for 2013.

What’s are G-Codes?

Functional G-Codes are non-payable CPT codes approved by CMS that will report patient information on the claim for Medicare Part B beneficiaries for therapy services.  As an administrator/owner, you will need to make sure that the G-Codes are in your current billing system and that your therapy company knows about this and is providing supportive documentation to ensure payment.  Starting in July, if the appropriate G-Codes are not included on your claim, it will not be paid.

Power in Preparation

We at HTS have been training our therapists and clients on this new ruling since November 2012.  We know the importance of not just putting codes on the claims so that they pay, but also preparing our therapists and your nurses for documenting to support the specific codes.

If you are worried about how you will meet this next hurdle to obtain reimbursement for Medicare Part B therapies, or if you are not even sure what this is all about, call us.  We are happy to help.  Rehabilitation is all we do.  100% vested in perfecting rehabilitation, our HTS industry experts are sought after to care for our clients with diligence and fortitude to last through all the changes of Health Care Reform, including CMS’ ever changing regulations.

See the CMS Functional G-Code List