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MIPS is the first large scale value-based payment model to impact PTs.

Traditional MIPS is the original reporting option available to eligible clinicians for collecting and reporting data to the program.

Physical therapists are only required to participate if they meet certain criteria, but voluntary participation options also are available. Physical therapists should verify their eligibility directly with CMS by entering their NPI on the QPP Participation Status page.

Performance is measured across four categories — quality, improvement activities, promoting interoperability, and cost, with 2024 being the first year that physical therapy practices participate in the promoting interoperability category.

Download 2024 MIPS Resource

Additional Merit-Based Incentive Payment System Content

Reporting Requirements: Promoting Interoperability

Feb 27, 2024 / Resource

The promoting interoperability performance category of MIPS is intended to promote patient engagement and electronic exchange of information using certified electronic health record technology.

Reporting Requirements: Improvement Activities

Feb 27, 2024 / Resource

The improvement activities performance category of MIPS measures participation in activities that improve clinical practice.

Reporting Requirements: Quality

Feb 27, 2024 / Resource

The quality performance category of MIPS evaluates the quality of care you deliver by measuring health care processes, outcomes, and patient experiences of care.

Reporting Requirements: Cost

Feb 27, 2024 / Resource

The cost performance category is a measure of resource utilization based on Medicare claims for specific services that CMS has identified.

MIPS Value Pathways

Feb 27, 2024 / Resource

MIPS Value Pathways, or MVPs, are a voluntary reporting option that clinicians can participate in as an alternative to traditional MIPS or an APM Performance Pathway.

MIPS Scoring and Payment Adjustments

Feb 27, 2024 / Resource

MIPS Performance Reporting Requirements

Feb 27, 2024 / Resource

MIPS performance is measured across four categories – cost, quality, improvement activities, and promoting interoperability.

MIPS Participation and Reporting Options

Feb 27, 2024 / Resource

APTA provides details for the different MIPS participation and reporting options.

Mandatory Versus Voluntary Participation Options

Feb 27, 2024 / Resource

CMS has established a low-volume threshold to determine if an individual PT or a physical therapy private practice can be excluded from mandatory participation in MIPS.

Final 2024 Physician Fee Schedule Reflects System's Flaws; Includes Some Wins

Nov 3, 2023 / News

The projected 3.4% cut is another indication that it's time for reform, but other APTA-backed provisions are good news for the profession.