CMS is ringing in 2020 with some regulatory changes—including tweaks to everyone’s favorite quality payment program: MIPS. Luckily, you don’t need to whip yourself into a compliance frenzy and navigate your own way through a stormy sea of new, changed, and deleted rules and guidelines.
Okay, we’ll admit it: it’s probably the worst time of year to go camping. (It may not snow a whole lot in our lovely desert home, but even our December nights have gotten so, so bitterly cold.) But, that didn’t stop Heidi Jannenga, PT, DPT, ATC, WebPT Co-Founder and Chief Clinical Officer, and Rick Gawenda, PT, CEO of Gawenda Seminars & Consulting, from hosting an hour-long camping-themed webinar where they talked about ghost stories and s’mores—and a handful of CMS’s 2020 regulatory changes.
Okay, so the title of this article might be a little misleading; the final rule isn’t health care’s just desserts. It’s actually really great that CMS is always trying to improve one of our country’s most important safety nets—even though its methods of doing so are divisive, to say the least.
How familiar are you with the Medicare guidelines for physical therapy documentation? What about for occupational therapy documentation? If you’re a PT or OT—and you’re anything less than 100% confident in your knowledge of the Medicare documentation rules that apply to your specialty—then you’ve come to the right place.
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.
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:
We compiled an FAQ that answers rehab therapists’ most pressing questions about MIPS and the 2019 final rule.