Beginning in 2017, the PQRS program became part of new Medicare quality reporting program called the Merit-based Incentive Payment System (MIPS). MIPS, created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), is a much more complex quality reporting program and will include PQRS quality measures as well as information about cost and improvement activities. Physical therapists are not formally included in MIPS in 2017, but they may be added to the program beginning in the 2019 reporting year, which will affect payment in 2021. Because of this potential, PTs encouraged to voluntarily report now to gain experience in the program.
APTA and CMS strongly recommend that PTs voluntarily report in MIPS in 2017 to gain experience with the new quality program. To voluntarily participate in 2017, PTs can continue reporting PQRS measures via claims-based reporting.
For more information on MIPS see our new FAQ (.pdf) and stay tuned for new member resources on MIPS throughout 2017.
PQRS/MIPS 2017 Updates
Getting Started with PQRS/MIPS