Today's blog post comes from Senior Copywriters Erica Cohen and Char Bohnett.

CMS‘Tis the season for PQRS. Why the hullabaloo? Because 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. With the impendency and necessity of PQRS reporting, we’ve dedicated this month to blog posts on all things PQRS.

Recently, CMS released new information about the PQRS 2013 outcome measures. Compliance guru Tom Ambury will be contributing a blog post with more details in the coming weeks but for now, here’s a brief rundown:

According to the APTA, these are the top 5 measures PTs and OTs used in 2010:

  1. 131 Pain Assessment Prior to Initiation of Patient Treatment*
  2. 154 Falls: Risk Assessment*
  3. 130 Documentation and Verification of Current Medications in the Medical Record*
  4. 155 Falls: Plan of Care*
  5. 128 Preventative Care and Screening: Body Mass Index (BMI) Screening and Follow-Up*

Here are the 2013 Individual Measures for PTs and OTs:

  • 126 Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy; Neurological Evaluation*
  • 127 Diabetic Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention Evaluation of Footwear*
  • 128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up*
  • 130 Documentation and Verification of Current Medications in the Medical Record*
  • 131 Pain Assessment Prior to Initiation of Patient Treatment*
  • 154 Falls: Risk Assessment*
  • 155 Falls: Plan of Care*
  • 182 Functional Outcome Assessment

Here are the 2013 Individual Measures for PTs and OTs using Qualified Registries:

  • 217 Change in Risk-Adjusted Functional Status for Patients with Knee Impairments
  • 218 Change in Risk-Adjusted Functional Status for Patients with Hip Impairments
  • 219 Change in Risk-Adjusted Functional Status for Patients with Lower Leg, Foot, or Ankle Impairments
  • 220 Change in Risk-Adjusted Functional Status for Patients with Lumbar Spine Impairments
  • 221 Change in Risk-Adjusted Functional Status for Patients with Shoulder Impairments
  • 222 Change in Risk-Adjusted Functional Status for Patients with Elbow, Wrist, or Hand Impairments
  • 223 Change in Risk-Adjusted Functional Status for Patients with a Functional Deficit of the Neck, Cranium, Mandible, Thoracic Spine, Ribs, or other General Orthopedic Impairment

And, here is the 2013 Measures Group for PTs:

Group Back Pain Measure
(Note that you must report all four measures, i.e., you may not report each measure individually.)

  • 148 Back Pain: Initial Visit
  • 149 Back Pain: Physical Exam
  • 150 Back Pain: Advice for Normal Activities
  • 151 Back Pain: Advice Against Bed Rest

*Measures currently available within WebPT. Most of the other measures became available within the past few weeks. We’re dedicated to maintaining and improving our selection of measures to make PQRS as easy as possible for our Members.

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