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  • CMS Letter About MIPS Doesn't Change PTs' Exempt Status

    Let's cut to the chase: physical therapists (PTs) are exempt from reporting to the Centers for Medicare and Medicaid's (CMS) Merit-Based Incentive Payment System, or MIPS. What they're not exempt from, apparently, are letters from CMS that seem to cloud that fact.

    Recently, PTs in private practice reported receiving letters from CMS about their MIPS status. The letters provide information about the PT's participation in MIPS at the individual level as well as at the practice level, via the practice's tax identification number (TIN).

    Here's where it gets confusing: while the information linked to the TIN may indicate that the practice is eligible to participate in MIPS, PTs are exempt from any mandatory participation—right now, only physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certified nurse practitioners must participate in MIPS. So the bottom line is, don't let the MIPS letter from CMS muddy the waters.

    PTs may voluntarily participate in MIPS—something APTA encourages—but will not be required to participate until at least 2019.

    Want to hear it straight from the source? CMS offers an online lookup tool to verify whether a particular provider is required to participate in MIPS.


    • yes, I figured as much. Medicare is even confused as our office called the number on the hotline and they still told us even after telling them we are a PT office that we had to participate now in MIPS.

      Posted by dan B on 5/10/2017 4:14 PM

    • Yes I received my letter. But my letter stated I am NOT required to participate. No confusion on my part.

      Posted by Carol Link on 5/12/2017 6:41 PM

    • How do you sign up for MIPS right now? Will we get a letter asking or is their a link???? Thanks Matt

      Posted by Matt Connell on 5/13/2017 1:23 PM

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