Are you ready for the 2015 PQRS Physical Therapy Measures? CMS is now requiring reporting on 9 measures across 3 quality domains including 1 cross-cutting measure. Perhaps you received a letter from CMS late last year indicating that your 2015 reimbursement in your private practice would be reduced by 1.2% because you did not participate in the 2013 CMS PQRS program. If you did not participate in the CMS 2014 PQRS program your reimbursement in 2016 will be reduced by 2%. On top of multiple procedure payment reductions (MPPR), as well as the sequestration reduction that is still in place, practices may be hard pressed to sustain continued downward reimbursement.
Get Started on the 2015 PQRS Physical Therapy Measures
CMS requires reporting on nine measures in 2015. Physical therapists reporting via claims must report on all 6 measures (noted in the table below) in the 2015 year in order to meet the successful reporting requirements on at least 50% of qualified patients. The quickest way to get started on PQRS is via claims- based reporting. Physical therapists may also report via registry, however there are only a few CMS qualified PQRS registries specific to physical therapy and those are tied to EMR programs, or alternatively to FOTO.
If you successfully participated in PQRS physical therapy reporting in 2014 there are a few updates of note. The Medication Measure no longer requires reporting on every visit were 97110 or 97140 was performed. What may come as a surprise is that the BMI Measure requires that you actually weigh and measure the height of the patient in performance of the BMI calculation. A patient self-report is not acceptable per the measure specifications. I recently completed a complimentary webinar with Clinicient on 2015 PQRS reporting which is now available on demand for replay. All the measures for PT, OT and SLP for claims reporting are reviewed.
|Measure #||Measure Description|
|128||Preventive Care and Screening: BMI Screening and Follow-up|
|130||Documentation and Verification of Current Medications in the Medical Record|
|131||Pain Assessment Prior to Initiation of Patient Treatment|
|154||Falls: Risk Assessment|
|155||Falls: Plan of Care|
|182||Functional Outcome Assessment|
If you are participating with one of the therapy EMRs that has a CMS qualified registry, you should also check to see the cost of using the registry to satisfy 2015 PQRS reporting requirements for physical therapy.