There are 9 occupational therapy PQRS measures in 2014 for claims-based reporting (free). Many are the same measure for physical therapy reporting, however there are some different options for occupational therapy. Before we get to the measures, it’s important to clear up some misunderstanding about the minimum number of measure that must be successfully reported (via claims based reporting). For all eligible providers (EP) reporting requirements are for 9 measures to obtain the 0.5% bonus payment for 2014, and a minimum of 3 measures (as applicable) in order to stave off the 2.0% payment penalty in 2016. However if not all available measure are applicable, the claims will go through the Measure Applicability Validation Process (MAV) which will allow QualityNet to determine whether you should have reported quality data codes for additional measures and/or covering additional NQS domains. The minimum reporting requirements to avoid the penalty apply to physicians, and other providers including physical and occupational therapists.
Occupational Therapy PQRS – Some Measures Shared with Physical Therapy
Let’s cut to the quick and see the table of the occupational therapy PQRS measures. Some of these measure are also applicable to physical therapy, and are so noted by the applicable physical therapy evaluation codes.
Occupational Therapy PQRS Measures 2014
|Measure #||Measure Description||CPT CODES|
|#128||Preventative Care & Screening: Body|
Mass Index (BMI) Screening & Follow-Up
|97001, 97003, 97803|
|#130||Documentation of Current Medications|
in the Medical Record
|97001, 97002, 97003, 97004, 97110|
97140, 97532, 97802, 97803, 97804
|#131||Pain Assessment & Follow-Up||97001, 97002, 97003, 97004,|
|#134||Screening for Clinical Depression &|
|#154||Falls: Risk Assessment||97001, 97002, 97003, 97004|
|#155||Falls: Plan of Care||97001, 97002, 97003, 97004|
(Only when 1100F is reported for Measure #154)
|#181||Elder Maltreatment Screen &|
|97003, 97802, 97803|
|#182||Functional Outcome Assessment||97003, 97802, 97803|
|#226||Tobacco Use: Screening and|
Are you an occupational therapist? Are you currently reporting on PQRS measures? Are you reporting on the minimum number of measure to stave off the 016 2.0% penalty? Are you reporting on all the applicable procedure codes to ensure your efforts pay off?