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

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. 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 What practice setting(s) does MIPS apply to? Answer #1 Question #2 Is there an easy way to know if I am a

If you are a physical therapist, occupational therapist or speech-language pathologist in private practice and you participated in the 2019 Merit-Based Incentive Program (MIPS), you have now received your MIPS score and payment adjustment percentage for calendar year 2021. In this article, I will answer several questions that I have been receiving to help you understand what will be occurring in 2021. QuestionIs it possible for a therapist who has their own individual NPI number, is employed or contracted by multiple private practices (different TINs) and submitted claims to Medicare under each NPI/TIN combination to have different MIPS scores for

The Centers for Medicare and Medicaid Services has published updated data concerning the 2019 Merit-Based Incentive Payment System (MIPS) Performance Period results that will impact your calendar year 2021 Medicare payments for outpatient therapy services. Many MIPS eligible professionals who successfully participated in MIPS in 2019 and scored 30 or more points will be disappointed to learn that their positive payment adjustment won’t be that much, if anything at all. Here are the results: I hope you found this article helpful. If you will be participating in MIPS or are considering participating in MIPS in 2021, consider registering for my

The Centers for Medicare and Medicaid Services has released the calendar year (CY) 2021 proposed rule for services paid under the Medicare Physician Fee Schedule and the Quality Payment Program that includes the Merit-Based Incentive Payment System (MIPS). In this article, I will provide a summary of the proposed MIPS 2021 program and 2021 Performance Period. MIPS Value Pathways (MVPs) 2021 MIPS Participation Options 2021 Performance Threshold 2021 Performance Category Weights CMS Web Interface Reporting Option Complex Patient Bonus COVID-19 Update in 2020 2021 Quality Measures Proposed Quality Measure Additions to the PT & OT Specialty Set Proposed Quality Measure

The Centers for Medicare and Medicaid Services (CMS) Quality Payment Program (QPP) does provide an opportunity for qualifying clinicians and groups to apply for exceptions to meeting the Merit-based Incentive Payment System (MIPS) program requirements. The exception that most likely impacts most MIPS eligible clinicians in Performance Year 2020 is the “Extreme and Uncontrollable Circumstances Exception Application“. Per CMS, this application allows you to request reweighting for any or all performance categories if youencounter an extreme and uncontrollable circumstance or public health emergency, such as COVID-19, that is outside of your control. Click HERE to access the 2020 QPP Exception

The Centers for Medicare and Medicaid Services (CMS) has released the Merit-Based Incentive Payment System data for Performance Period 2018. The final 2018 performance feedback data revealed: 98% of eligible clinicians participated in MIPS in 2018— up from 95% in 2017 98% of eligible clinicians exceeded the performance threshold score of 15 points to receive a positive payment adjustment— up from 93% in 2017 356,353 clinicians participated in MIPS through APMs— up from 341,220 in 2017 Click HERE to read more about the 2018 MIPS Performance Period data.

For calendar year 2020, 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. Question #1 In Performance Period 2020, how many quality measures must physical therapists, occupational therapists and speech-language pathologists report? Answer #1 Question #2 How is the 70% data completeness calculated? Answer #2 Question #3 In Performance Period 2020, how are quality measures scored? Answer #3 Question #4 In Performance Year 2020,