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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 ResourcesAdditional QPP Content
September 7, 2018 / Article
Recorded webinar - FREE and only offered to APTA membersDecember 4, 2018 / Article
This course provides insights into the New Year based on moving to value-based payment. Recorded webinar. Free to members.May 30, 2020 / Article
Recorded webinar from live Q & A (December 4, 2018)February 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.February 27, 2024 / Resource
The improvement activities performance category of MIPS measures participation in activities that improve clinical practice.February 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.February 27, 2024 / Resource
The cost performance category is a measure of resource utilization based on Medicare claims for specific services that CMS has identified.February 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.February 27, 2024 / Resource
February 27, 2024 / Resource
MIPS performance is measured across four categories – cost, quality, improvement activities, and promoting interoperability.February 27, 2024 / Resource
APTA provides details for the different MIPS participation and reporting options.February 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.Keep current on evidence-based practices.
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