Medicare G-Codes
Medicare G-Codes are special reporting codes that physical therapists and other healthcare providers use to track patient progress and report it to Medicare for payment purposes. Think of them as a standardized way to describe how well a patient is doing with their functional abilities, like walking, moving, or performing daily tasks. These codes help Medicare understand the patient's condition and determine appropriate payment for therapy services. It's similar to how a teacher might grade a student's progress, but in this case, it's used for healthcare billing and documentation.
Examples in Resumes
Accurately documented patient progress using Medicare G-Codes for therapy services
Trained new staff members on proper G-Code reporting and documentation
Managed patient documentation and Medicare G-Code submissions with 99% accuracy rate
Typical job title: "Physical Therapists"
Also try searching for:
Where to Find Physical Therapists
Professional Organizations
Online Communities
Job Resources
Example Interview Questions
Senior Level Questions
Q: How would you implement a G-Code training program for new staff?
Expected Answer: A senior PT should discuss creating clear documentation guidelines, regular training sessions, quality checking processes, and methods to ensure compliance with Medicare requirements.
Q: How do you handle complex cases where G-Code reporting might be challenging?
Expected Answer: Should explain strategies for documenting multiple conditions, understanding payment caps, and ensuring accurate reporting while maintaining quality patient care.
Mid Level Questions
Q: What are the common mistakes in G-Code reporting and how do you avoid them?
Expected Answer: Should discuss typical documentation errors, importance of timely reporting, and systems to double-check accuracy before submission.
Q: How do you explain G-Code assessments to patients?
Expected Answer: Should demonstrate ability to communicate assessment process in simple terms and explain how it relates to treatment goals.
Junior Level Questions
Q: What are the basic components of a G-Code?
Expected Answer: Should explain that G-Codes include the type of functional limitation being reported and severity/complexity modifiers.
Q: When are G-Codes required to be reported?
Expected Answer: Should know that G-Codes are reported at initial evaluation, at least once every 10 visits, and at discharge.
Experience Level Indicators
Junior (0-2 years)
- Basic G-Code documentation
- Understanding Medicare guidelines
- Simple progress reporting
- Basic assessment skills
Mid (2-5 years)
- Accurate modifier selection
- Complex case documentation
- Staff training assistance
- Quality assurance processes
Senior (5+ years)
- Program implementation
- Compliance oversight
- Staff training development
- Documentation system optimization
Red Flags to Watch For
- Inability to explain basic G-Code requirements
- Poor understanding of Medicare documentation guidelines
- Lack of experience with electronic health records
- No knowledge of compliance requirements
