Quality Measures Available for MIPS 2019 Performance Year

The Centers for Medicare and Medicaid Services (CMS) has released the 2019 MIPS quality measures available to report by physical therapists (PT’s), occupational therapists (OT’s) and speech-language pathologists (SLP’s) that practice in the private practice setting. In this article, I will provide the measures available to PT’s, OT’s and SLP’s reporting via claims and registry.…

MIPS 2019: Must I Report as a Group

Effective January 1, 2019, physical therapists, occupational therapists and speech-language pathologists in private practice (submit claims on a 1500 claim form) are able to participate in the Merit-Based Incentive Payment System (MIPS) for Performance Year 2019. If an individual therapist exceeds all 3 of the low-volume thresholds during both determination periods, they will be required…

AIM Specialty Health

Anthem Blue Cross-Blue Shield has announced they are initiating a new utilization management (UM) program with AIM Specialty Health, a subsidiary of Anthem beginning in 5 states. This program will begin on March 1, 2019 in the states of Indiana, Louisiana, New York and Wisconsin and March 25, 2019 in California. This new UM program…

Check Your 2019 MIPS Eligibility

You can now check the Quality Payment Program (QPP) Participation Status Tool to view your eligibility status for the 2019 performance period under the Merit-based Incentive Payment System (MIPS). Enter your National Provider Identifier (NPI), to find out if you need to participate in MIPS during the 2019 performance year. To check to see if…

New Medicare Cards

The Centers for Medicare and Medicaid Services (CMS) has finished the mailing of new Medicare cards to 61 million people with Medicare prior to the original deadline of April 2019. But what are these new Medicare cards and how do they impact providers of therapy services? The Medicare Access and Chip Reauthorization Act (MACRA) of 2015…