Share

Today’s blog comes from WebPT Copywriters Char Bohnett and Erica Cohen.

Registry-Based vs. Claims-Based PQRS Reporting Methods

If you pay attention to our blog posts this month, you may notice a theme. That’s because we always have themes, but this particular month is über important. For us here at WebPT, November is synonymous with PQRS prep. So we thought we’d share our vast PQRS knowledge with you, giving you all the info you need to prepare yourself for 2013.

Today, we’ll cover the two ways you can report your PQRS and how we can help.

What are the two methods for reporting PQRS?

Registry-Based (Automatic Submission)

This option manages most of PQRS for you. Because we merge PQRS with standard documentation, you simply report your PQRS measures directly within the patient record. We then aggregate that data, compile it into a digital format, and submit it directly to CMS. So, after setup, you document and we take care of the rest—no muss, no fuss. Essentially, registry-based reporting means you’ll never forget PQRS because we remember it for you.

Claims-Based (Manual Submission)

Claims-based reporting allows you to use your WebPT documentation to help you submit the appropriate CPT codes to CMS along with billing. As a note, in order to successfully complete claims-based PQRS reporting, you must report at least 50% of patients or you risk losing 1.5% of your eligible fee schedule payments in 2015.

Some food for thought on claims-based reporting: being in control of your own data may prove to be a double-edged sword. You must be your own auditor. Of course, if you’re a smaller practice and Medicare patients make up a small portion of your payer mix, then this option may be worth considering. Otherwise, claims-based reporting will require more work, time, and responsibility for you and your clinic. It’ll be up to you to ensure you stay compliant.

What does the cost structure look like for WebPT Members?

  • Registry-based reporting: one-time fee of $299 (+ additional $99 for each additional location)
  • Claims-based reporting: one-time fee of $99 for each location

What reporting method does WebPT recommend?

We here at WebPT recommend registry-based simply because it takes all the management off your plate, reports on a minimum 80% of patients (which far exceeds Medicare’s 50% requirement), and eliminates the chance of human error. No matter which reporting method you choose, though, you’re better protecting your practice from penalties.

Set yourself up for success; sign up for Registry-Based PQRS Reporting today. It’s $299 now or an avalanche of penalties, fines, wasted time, and migraines later. Not a Member, but want our help with PQRS? Schedule a demo today to see how our documentation solution paired with PQRS can help you achieve greatness in therapy practice. Plus, you’ll earn a 0.5% incentive payment.

Webinar: 5 Fast and Cheap Ways to Fix Your Clinic’s Marketing - Regular BannerWebinar: 5 Fast and Cheap Ways to Fix Your Clinic’s Marketing - Small Banner
PQRS Back Pain Measures Group Clarification Image

article Jan 17, 2014

PQRS Back Pain Measures Group Clarification

It’s a new year, and you know what that means: a new PQRS reporting period. Many WebPT Members have already started reporting PQRS data—and that’s great. The sooner you begin reporting, the sooner you’ll reach the minimum reporting requirements and thus ensure you avoid the 2% penalty. As you might recall from this blog post , you have a few different options when it comes to satisfactory PQRS reporting. For those practitioners who treat a large population …

article Nov 5, 2013

Founder Letter: PQRS 2014

Well, it’s November already, and that means two things: Thanksgiving and Physician Quality Reporting System (PQRS). Sure, PQRS doesn’t involve mouthwatering roasted turkey, savory stuffing, or creamy mashed potatoes, but it has become quite the November tradition for us here at WebPT. You see, this is the time of year that the Centers for Medicare & Medicaid Services (CMS) typically confirms the details of next year’s reporting requirements, thus allowing us to update our PQRS solution (claims- …

article Nov 12, 2012

What is PQRS and Why is it Important?

In an effort to improve quality of reporting in the healthcare industry, the Center for Medicare and Medicaid Services (CMS) created the Physician Quality Reporting System (PQRS) , which mandates that physical therapists, occupational therapists, and qualified speech-language therapists meet the criteria for satisfactory reporting. Beginning in 2013, not complying with PQRS requirements will result in penalties, which CMS will assess as fines (starting at 1.5% of your fee schedule) in 2015 . However, if you are …

article Nov 6, 2012

Pass the PQRS, Please!

Today's blog post comes from WebPT Co-Founder Heidi Jannenga, PT, MPT, ATC/L. Can you believe it’s already November? That means two things: Thanksgiving and PQRS 2013 (if you treat Medicare patients, of course). I know we’d much rather fill our thoughts—and bellies—with turkey, dressing, and buttery mashed potatoes. But you have to make room somewhere for Physicians Quality Reporting System (PQRS, formerly known as PQRI). You can’t smother it with gravy or tuck it behind excess cans …

article Sep 6, 2011

CMS, Patient Level Data and Outcomes: What should we be measuring?

What should we be measuring? Recently, there has been some debate from EMR providers over the type of data that should be provided to CMS when reporting clinical outcomes. CMS, in a newly proposed rule, wants to define and begin to use a new measure called CQM . CQM stands for Clinical Quality Measure and is used to establish the top tier providers for the effectiveness and necessity of specific treatments.   The Issue The issue here …

article Nov 7, 2013

FLR and PQRS: How Are They Different?

Functional limitation reporting (FLR) and PQRS both fall under the ever-widening umbrella of Medicare regulations, and they both involve outcome measures and data codes. Still, they are completely separate requirements, each with its own set of rules. Confusing, we know. To help you sort out the differences, we’ve put together a short breakdown of each one as well as a detailed compare/contrast chart: The Basics of FLR On July 1, 2013, Centers for Medicare & Medicaid Services …

Most Frequently Asked Questions From Our Functional Limitation Reporting Webinars Image

article May 22, 2013

Most Frequently Asked Questions From Our Functional Limitation Reporting Webinars

Today's blog post comes from WebPT Senior Writer Charlotte Bohnett, contributing writer Erica Cohen, and WebPT Co-Founder Heidi Jannenga, PT. Monday and Tuesday we hosted webinars on functional limitation reporting. We got tons of great questions. Here are the most frequently asked ones: The Basics What is functional limitation reporting? Beginning July 1, 2013, CMS is requiring that you complete functional limitation reporting (FLR) on all Medicare part B patients in order to receive reimbursement for your …

article Aug 14, 2012

PQRS Simplified

This blog post comes from WebPT copywriters Charlotte Bohnett and Erica Cohen.  PQRS is a royal pain in the you-know-what. We know. We don’t like it anymore than you do. But because CMS has now made it mandatory, we’re all for making the best of it. So how do you make peace with PQRS? Nail down the basics. What is PQRS? In an effort to improve quality of reporting in the healthcare industry, the Center for Medicare …

article Nov 4, 2013

What PQRS Could Look Like in 2014

On July 19, 2013, the Centers for Medicare & Medicaid Services (CMS) published the 2014 Medicare Physician Fee Schedule (MPFS) Notice of Proposed Rulemaking (NPRM) in the Federal Register. According to this summary , most of the policies were open for comment until September 6, 2013 and, pending final decisions (which hopefully will occur this month), will take effect on January 1, 2014. The 605-page document contains proposals for policy changes on everything from reimbursements to the …

Get exclusive content delivered right to your inbox.