Beginning in 2015, physical therapists and other health care providers who do not successfully participate in the Physician Quality Reposting System (PQRS) program will be subject to payment penalties. The Centers for Medicare and Medicaid Services finalized the use of the calendar year 2013 as the reporting period to inform the 2015 payment adjustment. Eligible providers, including physical therapists, who do not satisfactorily report data on quality measures for the reporting period between January 1, 2013, and December 31, 2013, will be subject to a 1.5% reduction in their fee schedule amount in 2015.
APTA is creating new resources for members to assist them in their participation in the PQRS program. A new podcast series on implementing PQRS is available today and reviews PQRS basics, including information on getting started, teaching physical therapists the program, and billing and tracking performance. In addition, on November 16 APTA will host a live audio conference to provide members with an update to changes to the PQRS program for 2012.
The Medicare PQRS program began in 2007 as a voluntary, incentive-based program for practitioners, such as physical therapists in the private practice setting, as a means to ensure high quality health care services for their beneficiaries. In 2012, and continuing through 2014, providers who successfully participate in the PQRS program will receive a 0 .5% bonus payment.