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 compliant, you will earn a 0.5% incentive payment on your total allowed charges during the reporting period.
WebPT is one of only two PQRS Certified Registry systems specifically designed for therapists. WebPT obtained certification in 2009 and continues to work with CMS to maintain compliance with our reporting tool that is fully integrated within the WebPT application.
PQRS is easy with WebPT's registry-based reporting. Your therapists simply answer a few extra questions during documentation, and we collect and store the data for your clinic based on the specific measures chosen. We then prepare the data for electronic submission and deliver it at the end of your claims period. We also offer claims-based reporting, which requires the clinic to manually submit their claims.
0.5% Bonus on Medicare Reimbursements
By participating in PQRS, each qualified, eligible professional within a clinic, which includes PTs, OTs and SLPs, can earn up to a 0.5% bonus on his/her total estimated allowed charges for his/her Medicare Part B Physician Fee Schedule. In order to earn the 0.5% incentive, you must complete three or more of the “eligible measures” on at least 50% of Medicare patients for claims-based reporting or 80% with registry-based reporting during the reporting period.
Participating in PQRS is easy with WebPT
If you’re a WebPT Member, sign up for PQRS here, and let us help you ensure accuracy, efficiency, and protection from penalties. Plus, you’ll save yourself a lot of time. And everyone could use more of that.
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.
PQRS measures that are supported by WebPT in 2013:
- BMI Screening and Follow-up
- Diabetic Foot & Ankle Care; Footwear Eval
- Diabetic Foot & Ankle Care; Neuro Eval
- Pain Assessment Prior to Initiation of Therapy
- Documentation and Verification of Medications
- Falls Risk Assessment
- Falls Risk Assessment & Plan of Care
- Functional Outcome Assessment
To submit your information to get the bonus:
Claims-based reporting: Submit your clinic claims manually by gathering all of your applicable PQRS Medicare Notes and report the appropriate quality data codes on service lines of Part B Physician Fee Schedule (PFS)
WebPT will submit them automatically for you via registry-based reporting. Our automatic registry submission of your PQRS data takes the hassle out of making sure you have all of the necessary information. All you need to do is cash your bonus checks from CMS.