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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.
Additional Merit-Based Incentive Payment System Content
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.
Feb 27, 2024 / Resource
The improvement activities performance category of MIPS measures participation in activities that improve clinical practice.
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.
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.
Feb 27, 2024 / Resource
Feb 27, 2024 / Resource
MIPS performance is measured across four categories – cost, quality, improvement activities, and promoting interoperability.
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.
Feb 27, 2024 / Resource
APTA provides details for the different MIPS participation and reporting 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.
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.