The Centers for Medicare and Medicaid Services (CMS) has added physical therapists (PTs) to the list of providers in the CMS Quality Payment Program (QPP). As of January 2019, PTs providing services under Medicare Part B who meet qualifying criteria must participate in either the Merit-based Incentive Payment Program (MIPS) or an Advanced Alternative Payment Model (Advanced APM).
Others who are not required to participate still may be eligible.
MIPS requires several data points to be reported electronically through CMS-certified registries. APTA's Physical Therapy Outcomes Registry is a Qualified Clinical Data Registry (QCDR) and approved by CMS to report MIPS data on your behalf.
The Registry integrates seamlessly with your EHR.
You benefit from:
You must participate in MIPS and are subject to the payment adjustment of +/-7% if you are a PT in a private practice and meet all 3 of the following low-threshold criteria:
Nonparticipation will result in the full 7% penalty. Visit the CMS website to determine your eligibility.
With no scheduled Medicare payment updates until 2025, choosing to participate in MIPS gives you the opportunity to earn up to an additional 7% annually. Here's how it works:
Please note, if you or your group does not meet at least 1 of the eligibility requirements, you are not eligible for MIPS participation and you cannot earn an incentive payment.
Learn more about participating in MIPS.
The Registry supports 15 Quality Payment Program (QPP) measures and 12 QCDR measures for PTs within the MIPS reporting program. Please click on the individual measures to learn more:
Last Updated: 1/7/2019