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  • CMS Releases Physician Quality Reporting System Data for CY 2009

    A total of 5,414 physical therapists and occupational therapists in private practice submitted data to the Physician Quality Reporting System (PQRS) for calendar year (CY) 2009, according to a report recently released by the Centers for Medicare and Medicaid Services (CMS) that ranks the top 5 measures submitted by specialty practice areas in CY 2009. Of the non-physician providers, physical therapists and occupational therapists were ranked 6 of 15 in number of providers who submitted PQRS data in CY 2009.

    The top 5 measures reported for physical therapists and occupational therapists were:  #154 Falls: Risk Assessment; #131 Pain Assessment Prior to Initiation of Patient Therapy and Follow-Up; #130 Documentation and Verification of Current Medications in the Medical Record; #155 Falls: Plan of Care; and #128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up. The average performance rating for these measures ranged from 98.44% to 77.10%. Based on national provider figures from CMS, APTA estimates that approximately 10% of all private practice physical therapists participated in PQRS in CY 2009. 

    PQRS is currently a voluntary program that incentivizes practitioners for participation in quality reporting. In 2012 providers who successfully participate in the program will receive a .5% bonus payment. Beginning in 2015, providers who do not successfully participate will be subject to a financial penalty. However, the proposed CY2012 Physician Fee Schedule Rule released in June outlines CMS' intent to use CY 2013 data to inform penalties in 2015, which if incorporated into the final rule would essentially require providers to participate in 2013 to avoid 2015 penalties.

    For more information on PQRS visit APTA's updated PQRS Web page.


    • We have been trying to implement the PQRS measures since January.Pain assessment and documentation of drugs relatively easy,but we are having difficulty with the risk for falls and back pain measures.We have called several numbers-CMS etc and we get no assistance. We wold love to talk with clinics already doing this,but they will not give us that information. Please help.

      Posted by Elizabeth Daniel on 8/20/2011 6:43 AM

    • I am in private practice of a multi-office in 2 states [PA and NJ] I have reported in PQRS since 2009 and recently learned we did not meet the 80% of successful reporting. What is the best number or web site to get accurate and more timely feedback on my reporting? Also, how many therapists in each practice/office must report measures by 2015? Bill Rinehimer

      Posted by William Rinehimer on 8/24/2011 1:19 PM

    • Currently, performance reports are only released once a year. Reports are released in October for the previous year’s performance (October 2011 report will contain the performance for CY2010). The reports are released either through the provider’s MAC (Medicare Administrative Contractor)or through Quality Net if the provider has an IACS account. • For questions additional questions about the report contact Quality Net at 866-288-8919 (option #1, option #7) • For more information about IACS (Individuals Authorized Access to CMS Computer Services) account please see the quick reference guide on the Quality Net website https://www.qualitynet.org/portal/server.pt/community/pqri_home/212# • For general questions regarding PQRS getting started see APTA’s website http://www.apta.org/PQRS/or contact Heather Smith, Associate Director of Quality Initiatives at APTA ext 3140. Every therapist who is a registered Medicare provider with a NPI (National Provider Identifier) must participate by 2015.

      Posted by News Now staff on 8/26/2011 4:18 PM

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