Thumbs up We see better payments in your future. Attend our webinar to find out why.


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: annual fee of $399 (+ additional $99 for each additional location)
  • Claims-based reporting: annual 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.

ICD-10 Open Forum - Regular BannerICD-10 Open Forum - Small Banner
  • 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 …

  • 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 …

  • 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- …

  • 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 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 …

  • PQRS 2016: Everything PTs, OTs, and SLPs Need to Know Image

    webinarNov 4, 2015

    PQRS 2016: Everything PTs, OTs, and SLPs Need to Know

    At this point, you’d think satisfying PQRS requirements would be child’s play, but unfortunately, Medicare changes the rules every year. Fortunately, we’ve already combed through the 2016 Final Rule for you and organized everything you need to know about PQRS into a jam-packed, super educational 60-minute webinar. Join us for this beneficial seminar, where hosts Heidi Jannenga and Charlotte Bohnett will: detail 2016 reporting requirements; describe the different reporting methods; and explain how to ensure you successfully …

  • 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 …

  • The Rehab Therapist’s Quick Guide to the 2016 Final Rule Image

    articleNov 4, 2015

    The Rehab Therapist’s Quick Guide to the 2016 Final Rule

    November is finally here, which means we here at WebPT can’t stop thinking about a juicy, flavorful, hot-out-of-the oven—Medicare Final Rule. While your tastebuds probably aren’t jumping with joy over the thought of chewing over a bunch of regulatory gobbledygook, the good news is that this year’s final rule shouldn’t be too tough to swallow (and if it is, you can always add more gravy). We’ve already picked out the most important pieces and served ’em up …

  • PQRS vs. FLR: What's With All These G-Codes? Image

    articleNov 11, 2014

    PQRS vs. FLR: What's With All These G-Codes?

    FFS, POC, CMS, PQRS, FLR—it can be hard to keep track of Medicare’s long list of acronyms . Throw in G-codes, and you might find yourself drowning in alphabet soup. Even more confusing: we use G-codes for both PQRS and FLR, and yet, these two types of G-codes are not interchangeable. PQRS G-Codes Let’s start with PQRS. Chances are, if you treat Medicare Part B patients, you’re reporting PQRS G-codes to CMS to either avoid a penalty …

Achieve greatness in practice with the ultimate EMR for PTs, OTs, and SLPs.