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01/03/22

MIPS Quality Measures For 2022 For PT, OT and SLP

For calendar year 2022, 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 16, 2021 titled “2022 MIPS for Physical, Occupational and Speech Therapy Services“. For additional information on this webinar and to order the webinar playback link, click HERE. Question #1In Performance Period 2022, how many quality measures must physical therapists, occupational therapists and speech-language

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11/29/21

CMS to Apply MIPS Automatic Extreme and Uncontrollable Circumstances Policy for the 2021 Performance Year

On November 10, 2021, the Centers for Medicare and Medicaid Services announced they will apply the MIPS Automatic Extreme and Uncontrollable Circumstances Policy for the 2021 Performance Year. In this article, I will answer the following questions: Who does the MIPS Automatic Extreme and Uncontrollable Circumstances Policy apply to? Who does the MIPS Automatic Extreme and Uncontrollable Circumstances Policy not apply to? Do I have to submit an application for the MIPS Automatic Extreme and Uncontrollable Circumstances Policy? What if I submit data to CMS on Quality Measures and Improvement Activities for the 2021 MIPS Performance Period; will I still

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11/09/21

2022 MIPS for Physical, Occupational and Speech Therapy Services

Please join us as Gawenda Seminars & Consulting, Inc. presents “2020 MIPS for Physical, Occupational and Speech Therapy Services” webinar conference on Tuesday, December 16, 2021 from 1:00pm – 3:30pm EST. This 2.5-hour webinar will assist physical therapists, occupational therapists and speech-language pathologists in private practices, office managers of private practices, administrators and owners of private practices, and billers and billing companies of private practices in their preparation to report MIPS in calendar year 2020.

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12/21/20

MIPS Quality Measures for 2021 for PT, OT and SLP

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

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12/21/20

MIPS 2021 for PT, OT and SLP

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

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12/21/20

MIPS 2019 Results: Questions and Answers

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

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11/02/20

MIPS 2021 Payment Update

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

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08/04/20

Proposed Rule for MIPS 2021 Performance Period

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

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