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A variety of programs have been developed to address value-based care payment, including the Medicare Quality Payment Program (QPP).

Certain PTs in private practice will be required to participate in the QPP program through either the Merit-Based Payment System (MIPS) OR Advanced Alternate Payment Models (APMs) beginning January 2020. Additionally, CMS has proposed to allow certain other PTs and physical therapy practices to opt in to the program, enabling them to earn incentive payments and to prepare for participation in Advanced APMs.

Alternative Payment Models

CMS is moving toward payment based on quality rather than quantity. Alternative payment models are at the forefront.

 

Access APM Resources

Merit-Based Incentive Programs

Learn about the three types of participation options under the Merit-Based Incentive Program.

Access MIPS Resources

Additional QPP Content

APTA and CMS Webinar on Quality Payment Program, MIPS, and Advanced APMs

September 07, 2018 / Article

Recorded webinar - FREE and only offered to APTA members
Everything you need to know about the Quality Payment Program, Including MIPS

December 04, 2018 / Article

This course provides insights into the New Year based on moving to value-based payment. Recorded webinar. Free to members.
Coding and Billing Updates: The Move to Value-based Payment

May 31, 2020 / Article

Recorded webinar from live Q & A (December 4, 2018)
CMS: Minimal Changes to MIPS, Advanced Alternative Payment Models for 2021

August 07, 2020 / Review

The Quality Payment Program would see mostly minor changes and some shifts to respond to COVID-19-related challenges.
MIPS Performance Scores Now Available

August 07, 2020 / News

CMS has released its MIPS scores for your 2019 performance, which could affect your payment in 2021.
CMS Offers MIPS Reporting Relief

June 29, 2020 / News

The "Extreme and Uncontrollable Circumstances" exception could allow clinicians to have MIPS performance categories reweighted.
MIPS Selecting a Vendor

April 23, 2020 / Article

MIPS Data Collection Sheets - 2020

April 01, 2020 / Resource

Access data collections sheets for claims-based MIPS reporting for 2020.
Alternative Payment Models Under Medicaid

February 17, 2020 / Article

CMS also offers APMs focused on Medicaid beneficiaries. Here are the programs PTs need to know about.
APTA's Physical Therapy Outcomes Registry Again Receives QCDR Designation f...

January 21, 2020 / News

APTA's Physical Therapy Outcomes Registry has been approved for the fourth year in a row by CMS as a qualified clinical data registry.
Separate Studies, Similar Conclusions: Bundling for Knee, Hip Replacement S...

January 08, 2020 / Review

Two studies of bundled care conclude that, at least for lower extremity joint replacement the models seem to be working.
MIPS Data Collection Mechanisms

January 01, 2020 / Resource

APTA provides details for the different MIPS data collection reporting mechanisms.

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