These are the therapy-related PQRS measures that are currently used in MIPS reporting: Specifically, MIPS repurposed some PQRS measures for its quality category, generally retaining the same measure specifications that applied for PQRS. On January 1, 2017, CMS launched the Merit-based Incentive Payment System ( MIPS), which uses elements of PQRS in its quality category. But, that didn’t mean mandatory quality reporting was gone for good. In October 2016, Medicare released its Final Rule, which mandated the end of PQRS at the conclusion of the 2016 reporting year. ( Click here to learn more about reporting requirements, including group reporting.) Is PQRS gone for good? To comply with PQRS and avoid the penalty, rehab therapists who participated in the program as individuals were required to report on nine measures across three NQS domains for at least 50% of their Medicare Part B fee-for-service (FFS) patients. Though the program ended in 2017, financial penalties continued affecting claims throughout 2018-with a maximum downward adjustment of 2% on all Medicare Part B payments. Although PQRS was never technically mandatory, eligible professionals (EPs) who did not meet the reporting requirements were subject to financial penalties. Under PQRS, all eligible Medicare providers-including physical therapists, occupational therapists, and qualified speech therapists-were required to meet criteria for the satisfactory reporting of certain outcome measures. Developed by the Centers for Medicare and Medicaid Services (CMS) in 2006, the Physician Quality Reporting System (PQRS) was designed to improve the quality of reporting and patient data throughout the entire healthcare industry, thus reducing fraud and optimizing the payment process.
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