The Physician Quality Reporting System (PQRS) is the quality reporting program under Medicare Part B. Eligible professionals, including physical therapists who bill Medicare for outpatient physical therapy services in private practice settings (using the 1500 claim form or 837-P) are included under this program. Eligible professionals, including physical therapists that do not satisfactorily report data on quality measures for the January 1, 2016-December 31, 2016 reporting period, will be subject to the 2.0% adjustment in their fee schedule amount in 2018.
The current quality reporting programs under Medicare part B will be replaced with a new quality reporting program, the Merit-based Incentive Payment System (MIPS), in 2017 as required by the Medicare Access and CHIP Reauthorization Act of 2015 legislation. MIPS will begin in 2017 for physicians and other practitioners, but will not include physical therapists. The Secretary has the discretion to add physical therapists to MIPS beginning in the 2019 reporting year (2021 payment adjustment year).
Getting Started with PQRS