MIPS Quality Measures for 2021 for PT, OT and SLP

December 21, 2020
 / 
Rick Gawenda
 / 

For calendar year 2021, physical therapists, occupational therapists and speech-language pathologists will once again be considered Merit-Based Incentive Payment System (MIPS) eligible clinicians. In this article, I will answer some of the more frequent questions I receive about the MIPS program as they relate to the Quality Performance Measures. In addition, I did a webinar on December 18, 2020 titled “2021 MIPS for Physical, Occupational and Speech Therapy Services“. For additional information on this webinar and to order the webinar playback link, click HERE.

Question #1

In Performance Period 2021, how many quality measures must physical therapists, occupational therapists and speech-language pathologists report?

Answer #1

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Question #2

How is the 70% data completeness calculated?

Answer #2

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Question #3

In Performance Period 2021, how are quality measures scored?

Answer #3

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Question #4

In Performance Year 2021, how many Quality Performance Measures are applicable to speech-language pathologists (SLPs)?

Answer #4

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Question #5

In Performance Year 2021, how many Quality Performance Measures are applicable to physical therapists (PTs) that can be reported via claims?

Answer #5

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Question #6

In Performance Year 2021, how many Quality Performance Measures are applicable to physical therapists (PTs) that can be reported via a registry?

Answer #6

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Question #7

In Performance Year 2021, how many Quality Performance Measures are applicable to occupational therapists (OTs) that can be reported via claims?

Answer #7

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Question #8

In Performance Year 2021, how many Quality Performance Measures are applicable to occupational therapists (OTs) that can be reported via a registry?

Answer #8

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Question #9

In Performance Year 2021, which Quality Measures applicable to physical therapy, occupational therapy and/or speech-language pathology therapy services are considered Outcome Measures?

Answer #9

The following Quality Measures are considered Patient Reported Outcome Measures as well as High Priority Quality Measures:

Measure 217: Functional Status Change for Patients with Knee Impairments

Measure 218: Functional Status Change for Patients with Hip Impairments

Measure 219: Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments

Measure 220: Functional Status Change for Patients with Lumbar Spine Impairments

Measure 221: Functional Status Change for Patients with Shoulder Impairments

Measure 222: Functional Status Change for Patients with Elbow, Wrist or Hand Impairments

Measure 478: Functional Status Change for Patients With Neck Impairments[/mepr-show]

Question #10

In Performance Year 2021, which Quality Measures applicable to physical therapy, occupational therapy and/or speech-language pathology therapy services are considered High Priority Measures?

Answer #10

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Question #11

How can I access the specifications for each Quality Performance Measure that will tell me how often I have to report the Quality Measure, when do I have to report the Quality Measure, what must be documented in the medical record and which codes to report for each Quality Measure?

Answer #11

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Question #12

What Quality Measures were added to the PT & OT Specialty set for Performance Year 2021?

Answer #12

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Question #13

What Quality Measures were deleted from the PT & OT Specialty set for Performance Year 2021?

Answer #13

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Question #14

What is the difference between a Qualified Registry and a Qualified Clinical Data Registry (QCDR)?

Answer #14

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I hope you found the answers to the questions helpful and informative. Thank you for being a Gold Member!


All material posted on our website is the intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted as your own material without the prior written approval of Gawenda Seminars & Consulting, Inc.

This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.

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