In 2019, some physical, occupational, and speech therapists will be required to participate in Medicare's Merit-Based Incentive Payment System (MIPS)—a mash-up of the Physician Quality Reporting System (PQRS), Meaningful Use (MU), and Value-based Modifier (VM) programs. Others will be able to opt-in, and still others will be excluded from participating at all (except in a voluntary manner that leaves them ineligible to receive the payment incentive or adjustment). Not sure where your practice stands? Take this MIPS quiz to find out. Then, check out our MIPS resources to get yourself up to speed on the ins and outs of Medicare's latest reporting program (we especially recommend reviewing this blog post on the pros and cons of opting into MIPS). After all, even if you don't have to participate this year, there's always next year. (And speaking of next year, according to WebPT President Heidi Jannenga, PT, DPT, ATC, “even if you're not eligible to participate based on the initial determination period—you'll want to continue to monitor your eligibility going forward, especially if you switch practices mid-way through the determination period.”)

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  • The 2020 Proposed Rule: Bite-Sized Edition Image

    articleAug 13, 2019 | 6 min. read

    The 2020 Proposed Rule: Bite-Sized Edition

    Too much of anything is bad for you—even if it’s something you like. Too much sun will give you some gnarly burns. Too much exercise can damage your muscles or cause stress fractures. Even too much Chipotle can make you sick (much to my eternal disappointment). All humans need to avoid consuming too much of one thing—and reading through CMS’s annual policy changes is, inarguably, way too much . So, we’re gonna keep this explanation of the …

  • 2019 MIPS Quality Measures for PTs, OTs, and SLPs Image

    downloadFeb 22, 2019

    2019 MIPS Quality Measures for PTs, OTs, and SLPs

    There are boatloads of information floating around about MIPS and its requirements—and considering how complex it is , there’s little question as to why. Certain parts of the program bear the brunt of the intricate legalese, though—one of which being the Quality category. A descendent of the defunct PQRS program, the Quality category has more than 250 measures—each with unique reporting requirements. Of those measures, the final rule listed the following 11 as specifically applicable to PTs …

  • MIPS 101 Image

    articleJul 24, 2019 | 3 min. read

    MIPS 101

    The Merit-based Incentive Payment System, or MIPS, is one tough cookie. It’s complicated and downright frustrating at times—but it’s something that rehab therapists need to be familiar with. If you’ve been looking for a no-nonsense, easy-to-follow MIPS explainer, then you’ve come to the right place! Just play the video to understand the basics behind this latest government program.  If you’ve finished the video and want a followup (or a recap) of the more complicated info we discussed, …

  • Will PTs, OTs, and SLPs Ever Have to Participate in MIPS? Image

    articleNov 29, 2017 | 7 min. read

    Will PTs, OTs, and SLPs Ever Have to Participate in MIPS?

    Despite the fact that earlier this year CMS sent confusing letters to numerous rehab therapy clinics about their participation status in the Merit-Based Incentive Payment System (MIPS) , physical therapists, occupational therapists, and speech-language pathologists are still not eligible to officially participate in this quality reporting initiative. (You can double check your eligibility status by entering your NPI in the form here .) According to the APTA, though, “it's almost a given that PTs will be mandatorily …

  • The Pros and Cons of Opting into MIPS Image

    articleFeb 18, 2019 | 8 min. read

    The Pros and Cons of Opting into MIPS

    I’ve spent an enormous amount of time researching MIPS —from digging through the 2,000-odd pages of the final rule and decoding line upon line of legalese, to participating in hour-long discussions (and dozens of email chains) with WebPT’s compliance experts. After all that researching, I feel pretty comfortable with the ins and outs of the program—as well as its benefits and drawbacks. So, let’s talk shop. Here are the pros and cons of MIPS participation : Pros …

  • CMS’s Final Bow: The 2019 Final Rule Image

    articleNov 5, 2018 | 8 min. read

    CMS’s Final Bow: The 2019 Final Rule

    Last week, the Centers for Medicare and Medicaid Services (CMS) published its 2019 final rule . Clocking in at just over 2,300 pages, the final rule isn't exactly a light read—especially because the legal lingo can be harder to interpret than Shakespearean verse. Luckily, we have the script—with all its twists and turns—decoded and ready for you to review. Here's the synopsis of all the physical therapy, occupational therapy, and speech-language pathology Medicare changes for 2019: Out, …

  • Cloudy with a Chance of Reform: 5 Key Healthcare Forecasts for 2017 Image

    webinarJan 5, 2017

    Cloudy with a Chance of Reform: 5 Key Healthcare Forecasts for 2017

    Predicting the weather is tough—just ask any meteorologist who has called for sun on the day of a major downpour. Well, predicting the fate of the US healthcare system isn’t much easier—there’s a lot up in the air, after all. But, even without a healthcare equivalent of Doppler Radar, there are a few key trends that are sure to have a major impact on PTs, OTs, and SLPs in 2017 and beyond. And to keep your practice …

  • Common Questions from Our Medicare Open Forum Webinar Image

    articleOct 25, 2018 | 43 min. read

    Common Questions from Our Medicare Open Forum Webinar

    Earlier this week, WebPT President Dr. Heidi Jannenga, PT, DPT, ATC, teamed up with Rick Gawenda, PT—President and CEO of Gawenda Seminars & Consulting—to host a Medicare Open Forum . As expected, we received more questions than our Medicare experts could answer during the live session, so we've provided the answers to the most frequently asked ones below. Don't see the answer you're looking for? Post your question in the comment section at the end of this …

  • 5 MIPS Lies You've Been Told—But Should Not Believe Image

    articleFeb 20, 2019 | 7 min. read

    5 MIPS Lies You've Been Told—But Should Not Believe

    WebPT is a purpose-driven company that’s gained the trust of its Members by prioritizing integrity, which, by definition , requires honesty and strong principles. As a company executive—and also as a consumer—I know that being lied to is the worst, especially when a person or company does it in order to benefit at my expense. Unfortunately, there seems to be a lot of this going on in our industry right now when it comes to Medicare's Merit-Based …

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