The American Physical Therapy Association (APTA) reports that UnitedHealthcare (UHC) announced in its May bulletin that the Medicare outpatient therapy functional reporting requirement would apply to UHC Medicare Advantage plans beginning August 1. The announcement can be found on page 46 of the bulletin.
The APTA news release notes that G-codes and severity/complexity modifiers will be required on contracted physical therapist claims with dates of service on or after August 1, 2014. Claims that do not include the appropriate G-code and modifiers will be rejected.
To view the APTA resources available to help meet this reporting requirement, visit www.apta.org/Payment/Medicare/CodingBilling/FunctionalLimitation.