The Centers for Medicare and Medicaid Services (CMS) has proposed, as part of the 2019 physician fee schedule, to require many PTs in private practice to participate in the QPP program through either MIPS or advanced APMs beginning January 2019. Additionally, CMS has proposed to allow certain other PTs and physical therapy practices to opt into the program, enabling them to earn incentive payments and to prepare for participation in APMs.
Due to the fact that this is a proposed measure there are no guidelines for physical therapists, occupational therapists, and speech-language pathologists.
Currently they are still not eligible to officially participate in the quality reporting initiative.
As of January 1, 2017, CMS discontinues the Physician Quality Reporting System (PQRS). MIPS is the replacement for PQRS and there are substantial similarities between the programs in that they will continue to require the reporting of quality measures. Currently, the Quality Measures category of MIPS will account for 50% of a MIPS Final score.
A single MIPS composite performance score (CPS) will take into account 4 weighted categories on a 0-100 point scale. Notably, for the quality measures that account for 50% of the CPS, therapist will be able to choose the measures on which they’ll be evaluated.
Based on the above MIPS Composite Performance Score, therapist will receive +/- or neutral adjustments to their payments for Medicare Part B.
The potential maximum adjustment % will increase each year from 2019 to 2022.
Due to the anticipated emphasis on quality measures in the MIPS Composite Performance Score, Turbo PT already allows you to report on the following quality measures:
In addition, if you are using the PTOutcome registry (APTA MIPS REGISTRY), Turbo PT has integration options available.
The MIPS Clinical Practice Improvement Activity Performance Category requires a minimum selection of one activity from a list of 90+ proposed activities. Examples include coordination of care, shared decision-making, safety checklist, and expanding practice access.
Turbo PT provides our clients that ability to sign-up patients to the Turbo PT patient portal. This allows our client to conduct patient follow-up and track improvement activities to evaluate how patients are progressing after therapy has been completed.
If you are a current Turbo PT customer, please contact support at 800-628-5844 to sign up for portal access.