
Users can decide whether adding Modifier 59 is applicable or not. Kareo's billing application runs a set of coding checks based on CMS Correct Coding Initiative (CCI) edits and warns users when trying to submit charges that are not separately payable except under certain circumstances. View Kareo's MACRA resource center to learn more. For the 20 reporting years, PT/OT/SLP providers are not considered eligible clinicians under MACRA, but they may be added in 2019. Starting January 1, 2017, PQRS has been rolled into the Merit-Based Incentive Payment System (MIPS) track of MACRA's Quality Payment Program (QPP).


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For a full list of PQRS QDC G-codes and modifiers, visit: click to expand collapse PQRS QDC G-codes are reported depending on the PQRS measure selected by the practice to report on. For a full list of FLR G-codes and severity modifiers, visit: The modifier represents the functional impairment on a 7-point severity/complexity scale. CMS uses FLR and PQRS G-codes to report Functional LimitationsįLR G-codes are always reported with corresponding severity modifiers. G-codes are used to report a beneficiary’s functional limitation being treated and note whether the report is on the beneficiary’s current status, projected goal status, or discharge status.

Therapists can also save time by copying G-codes and modifiers from previous visits to the current visit's Superbill using Kareo’s SLAT (same as last time) functionality. In Kareo, therapists can easily pick from a list of their favorite G-codes, severity modifiers, and therapy modifiers and add them into Kareo Clinical's Superbill.
