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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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MIPS Quality Measures

Quality measures are reported for points toward an overall score.  The measures available to a PT or OT will be determined by the method of submitting data—claims or vendor. To earn a score in 2020, PTs and OTs who use a vendor will need to report on at least 6 quality measures. 

Measure 126: Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy

Measure 127: Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention

Measure 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Measure 130: Documentation of Current Medications in the Medical Record

Measure 131: Pain Assessment and Follow-Up (Removed 2020)

Measure 134: Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Measure 154: Falls: Risk Assessment

Measure 155: Falls: Plan of Care

Measure 182: Functional Outcome Assessment

Measure 181: Elder Maltreatment Screen and Follow-Up Plan

Measure 182: Functional Outcome Assessment

Measure 217: Functional Status Change for Patients with Knee Impairments

Measure 218: Functional Status Change for Patients with Hip Impairments

Measure 219: Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments

Measure 220: Functional Status Change for Patients with Low Back Impairments

Measure 221: Functional Status Change for Patients with Shoulder Impairments

Measure 222: Functional Status Change for Patients with Elbow, Wrist or Hand Impairments

Measure 223: Functional Status Change for Patients with General Orthopedic Impairments (Removed 2020)

Measure 222: Functional Status Change for Patients with Elbow, Wrist or Hand Impairments

Measure 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Measure 281: Dementia Cognitive Assessment

Measure 282: Dementia: Functional Status Assessment

Measure 288: Dementia: Education and Support of Caregivers for Patients with Dementia

Measure 318: Falls Screening for Future Fall Risk

Measure 478: Functional Status Change for Patients with Neck Impairments

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