Reporting in the MIPS program can be done using one of several reporting methods, including claims-based data submission. Physical therapists (PTs) who choose claims-based submission will submit the Quality Data Codes (QCDs) for the quality measures on their claim form for all eligible visits as defined by each measure.
In order to meet the successful reporting requirements for claims-based PQRS reporting in 2016, PTs will need to report all claims-based measures on at least 50% or more of all eligible Medicare patients. All PTs reporting via claims will be subject to the Measure Applicability Validation (MAV) process in order to ensure that they have reported all eligible measures (see link below).
PTs who participate via the claims-based reporting method should register for and regularly access their feedback reports from Quality Net (see link below). PTs should monitor their reporting rate throughout the 2016 calendar reporting year to ensure successful reporting and avoid the 2.0% 2018 penalty.
2017 Claims-Based Reporting Resources