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.

Blog Subscription - Regular Banner
Charlotte Bohnett

Subscribe to our blog.

  • articleNov 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- …

  • articleNov 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 …

  • articleSep 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 …

  • PQRS Back Pain Measures Group Clarification Image

    articleJan 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 …

  • articleNov 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 …

  • articleNov 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 …

  • Functional Limitation Reporting: Flowchart and SmartArt Image

    articleMay 13, 2013

    Functional Limitation Reporting: Flowchart and SmartArt

    If you’ve been paying attention to our blog posts , our webinars , and functionallimitation.org for the past few weeks, you might think we here at WebPT have gone a little FLR-crazy. And you’d be right. You see, the latest CMS regulation—functional limitation reporting (FLR)—has some pretty severe consequences for noncompliance. Namely, if you don’t comply, you don’t get paid. I don’t know about you, but that seems like an awful lot of pressure. So, we’ve set …

  • Breakdown of the 2014 Proposed Physician Fee Schedule Rule Image

    articleJul 30, 2013

    Breakdown of the 2014 Proposed Physician Fee Schedule Rule

    Recently, the American Physical Therapy Association (APTA) shared  their highlights of the 2014 Proposed Physician Fee Schedule Rule . This summary boils down the 605-page proposal from the Centers for Medicare and Medicaid Services (CMS) into a 16-page bulleted outline. The breakdown is incredibly helpful, and we definitely recommend you read it. However, we know that not everyone is an APTA Member, and many of you are crunched for time. So, we sat down with our Founder …

  • articleNov 18, 2010

    What PTs Should Know About 2011 Final Rule Medicare Changes

    Some major changes are headed our way in terms of the 2011 Medicare Final Rule on the Physician Fee schedule and Other Policies to be effective January 1, 2011.  The Rule included a number of provisions that have impact on outpatient therapy services. The net effect of the policies could lead to payment reductions of approximately 30%. If you see Medicare patients and they impact your revenue, there are several things to pay attention to and deal …

Get exclusive content delivered right to your inbox.