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MIPS reporting is seamless with the Registry.

Physical therapists providing services under Medicare Part B who meet qualifying criteria must participate in either the Merit-Based Incentive Payment Program or an Advanced Alternative Payment Model, and even PTs who aren't required to report to MIPS still may be eligible to do so voluntarily.

The Registry makes participation easier.

Boost Your Bottom Line by Opting In to MIPS

While it's true that Medicare won't update its payment formula in 2026, the coming changes could make a difference in your practice. Beginning in 2026, clinicians participating in MIPS will receive a 0.25% update, while those providing a significant portion of their services in Advanced Alternative Payment Models will receive a 0.75% update.

Between now and 2026, participating in MIPS voluntarily gives you the opportunity to earn up to an additional 9% annually. Here's how it works:

  • If you are in a private practice and exceed one or two of the low-volume threshold criteria as an individual PT, you are eligible to opt in to MIPS and are subject to the payment adjustment of +/-9%.
  • If your practice collectively exceeds one, two, or all three of the low-volume threshold criteria, it can opt in to MIPS as a group and is subject to the payment adjustment of +/-9%.

If opting in to MIPS makes sense for you, the Registry can help you position your practice to receive the maximum reward for your participation — all while easing the burdens associated with the program.

Reduce Your Administrative Burden and Streamline Participation

APTA’s Physical Therapy Outcomes Registry is a qualified clinical data registry. That means the Centers for Medicare & Medicaid Services has approved the Registry for all reporting aspects of the MIPS program on your behalf.

By participating in the Registry, you can:

  • Seamlessly submit data to CMS with EHR integration — no additional data entry required.
  • Participate in MIPS with a comprehensive set of outcomes measures in all required categories and earn bonus points for using a QCDR.
  • Get real-time feedback on quality measures and your estimated MIPS score — so you can continually work to boost your incentive payment.

Learn more about the benefits of the Registry.

Criteria for Mandatory MIPS Participation

You must participate in MIPS and are subject to the payment adjustment of +/-9% if you are a PT in a private practice and meet all three of the following low-volume threshold criteria:

  1. Annually receive more than $90,000 in Medicare part B payments.
  2. Provide care for more than 200 Part B-enrolled Medicare beneficiaries.
  3. Bill more than 200 professional services.

Failure to participate if you are required to will result in the full 9% penalty. Visit the CMS website to determine your eligibility.

MIPS Reporting Deadlines

  • December 1, 2020

    Deadline

    Data collection for 2020 concludes.

  • January 15, 2021

    Deadline

    Data entry deadline for 2020.

  • March 31, 2021

    Deadline

    Submit all 2020 data to CMS.

Measures in the Registry

The Registry currently supports 19 Quality Payment Program measures, two eCQMs (CEHRT reporting only), and 11 QCDR measures — outcomes in every category required by MIPS.

Explore the included measures:

IROMS11: Failure to Progress
Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indicate functional improvement in knee rehabilitation of patients with knee injury measured via their validated Knee Outcome Survey (KOS) score, or equivalent instrument which has undergone peer reviewed published validation and demonstrates a peer reviewed published MCID.

IROMS12: Failure to Progress
Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in improvement in pain score, measured via the Numeric Pain Rating Scale (NPRS), in revalidation patients with knee injury pain.

IROMS13: Failure to Progress
Proportion of patients not achieving a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation of patients with hip, leg or ankle injuries using the validated Lower Extremity Function Scale (LEFS) score, or equivalent instrument which has undergone peer reviewed published validation and demonstrates a peer reviewed published MCID.

IROMS14: Failure to Progress
Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in improvement in pain score, measured via the Numeric Pain Rating Scale (NPRS), in rehabilitation patients with hip, leg or ankle (lower extremity except knee) injury.

IROMS15: Failure to Progress
Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation of patients with neck pain/injury measured via the validated Neck Disability Index (NDI).

IROMS16: Failure to Progress
Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in in improvement in pain score, measured via the Numeric Pain Rating Scale (NPRS), in rehabilitation patients with neck pain/injury.

IROMS17: Failure to Progress
Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation patients with low back pain measured via the validated Modified Low Back Pain Disability Questionnaire (MDQ) score.

IROMS18: Failure to Progress
Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in improvement in pain score, measured via the Numeric Pain Rating Scale (NPRS), in revalidation patients with low back pain.

IROMS19: Failure to Progress
Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation of patients with arm, shoulder, and hand injury measured via the validated Disability of Arm Shoulder and Hand (DASH) score, Quick Disability of Arm Shoulder and Hand (QDASH) score, or equivalent instrument which has undergone peer reviewed published validation and demonstrates a peer reviewed published MCID.

IROMS20: Failure to Progress
Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in in improvement in pain score, measured via the Numeric Pain Rating Scale (NPRS), in rehabilitation patients with arm, shoulder, or hand injury.

FORCE21: Review of Pain Status Assessment for Patients with Osteoarthritis