ComplianceFLR

Functional Limitation Reporting (FLR)

A CMS requirement for reporting functional limitations and therapy outcomes using standardized G-codes and severity modifiers on Medicare claims.

In Detail

Although CMS suspended the G-code reporting requirement in 2019, functional outcome reporting remains a best practice and is required by many commercial payers. Therapists document functional limitations at evaluation, periodically during treatment, and at discharge using standardized measures (FOTO, DASH, ODI, LEFS). PRACTIS integrates outcome tracking directly into the documentation workflow, automatically suggesting appropriate measures based on diagnosis and body region.

Related Search Terms

functional limitation reporting PTG-code reportingtherapy outcomes reporting

Related Terms

Medical Necessity

The clinical justification that a healthcare service is reasonable and necessary for the diagnosis or treatment of a patient's condition.

Plan of Care (POC)

POC

A documented treatment plan that outlines the patient's diagnosis, functional limitations, treatment goals, interventions, frequency, and expected duration of therapy.

Explanation of Benefits (EOB)HIPAA
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