Medicare AdvantageDocumentationMedium impact
Tips for completing Functional Status Assessments
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, Geriatrics +1 more·Physician
Effective date
Jul 1, 2025
We identified it
Jun 19, 2026
Summary
CMS is transitioning Functional Status Assessments (COA-FS) into the 2025 STAR ratings program as part of their health equity focus. Providers must document complete functional status assessments that address Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), or use standardized assessment tools, and bill using CPT 99483.
Action Required
By July 1, 2025: Providers must create documentation templates for Functional Status Assessments that include either ADL assessment (5+ activities), IADL assessment (4+ activities), or standardized tools. Billing team must ensure CPT 99483 is used for functional status assessments and verify documentation includes complete assessment and date of service before billing.