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  • APTA Outcomes Registry Earns Key QCDR Designation for Use With MIPS

    APTA's Physical Therapy Outcomes Registry (Registry) has been approved again by the US Centers for Medicare and Medicaid Services (CMS) as a qualified clinical data registry (QCDR). The designation for 2019 means that physical therapists (PTs) who participate in the Merit-based Incentive Payment System (MIPS) can submit their measures data directly from the Registry—including new measures supported by APTA that now position the Registry as the leading physical therapy registry in terms of the number of QCDR measures offered.

    The approval comes as many PTs are facing a new reporting and payment world, the result of a CMS decision to include physical therapy in its Quality Payment Program (QPP) beginning in 2019. That program, with MIPS as its centerpiece, puts a heavy emphasis on outcomes reporting and ties that reporting to potential payment adjustments.

    That's where the number of measures offered through the Registry comes into play. Basically, more measures mean more data points to report, and more data points mean more opportunities for PTs to meet CMS requirements—and possibly receive payment increases in the future. The Physical Therapy Outcomes Registry now offers more QCDR-related measures than any other physical therapy-only option.

    According to Heather Smith, PT, MPH, APTA's director of quality, while the Registry's role in helping PTs comply with MIPS is important, it's far from the only benefit of the resource.

    "With the Physical Therapy Outcomes Registry, APTA is looking forward, beyond MIPS data submission," Smith stated in an APTA news release. "Because the Registry gives users continual feedback on performance throughout the year, physical therapists can better understand their treatment patterns, interventions, and outcomes for specific patient populations, and apply that information to improve their practice. Ultimately, this will benefit the profession as a whole."

    Headed to the APTA Combined Sections Meeting this month? Check out the Registry booth at the APTA Pavilion. For a detailed look at MIPS and QPP, be sure to attend " Emerging Issues in Medicare: Quality Programs and Alternative Payment Models," on Friday, January 25 at 11:00 am. CMS representatives will be on hand to discuss the programs.

    2019 MPPR Calculator Now Available

    It's back: APTA's members-only multiple procedure payment reduction (MPPR) calculator for 2019 is now live.

    This year's calculator incorporates both the MPPR 50% reduction as well as the overall 2% cut to Medicare payments implemented through sequestration. The calculator, delivered by way of an Excel spreadsheet, calculates Medicare physician fee schedule payment for procedures provided to a beneficiary on a given day.

    Added features this year include options for selecting your Medicare participation status—participating, nonparticipating but accepting assignment, or nonparticipating and not accepting assignment—as well as the ability to compare the 2019 payment rate with the rate in 2018. The calculator also includes a Merit-based Incentive Payment System (MIPS) adjustment feature, which isn't applicable to physical therapists this year but will become a useful tool beginning in the 2021 payment year.