The Centers for Medicare and Medicaid Services (CMS) has released the 2021 Medicare Part B claims Quality Measure specifications and supporting documents. This release provides comprehensive descriptions of the 2021 Quality Claims measures for the Merit-based Incentive Payment System (MIPS) Quality Performance Category. In this article, I will highlight the 2021 significant changes for each Quality Measure that can be reported via claims by physical therapists (PTs), occupational therapists (OTs) and speech-language pathologists (SLPs) as well as list the denominator criteria for each Quality Measure that can be reported via claims as it applies to PTs, OTs, and SLPs. In

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 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,

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. Quality Measures That Can Be Reported via Claims by Physical Therapists Quality Measures That Can Be Reported via Registry by Physical Therapists Quality Measures That Can Be Reported via Claims by Occupational Therapists Quality Measures That Can Be Reported via Registry by Occupational Therapists Quality

Question How does CMS calculates the penalty for those choosing not to participate/report? Answer Question Regarding the Improvement Activities, how can we determine which Improvement Activities are considered high-weighted and which are considered medium-weighted? Answer Question How do we go about opting in and when is the deadline? Answer Question If we have 11 therapists and 7 physicians but all therapy billing is incident to the physician, are we classified as a small practice since we only have 7 physicians? Answer Question If we are excluded from MIPS, do not want to opt-in to MIPS and we submit via claims, is