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Merit-Based Incentive Payment System (MIPS)

Physical and occupational therapists in private practice who exceed all 3 criteria of the low-volume threshold must participate in MIPS, subject to the payment adjustment of +/-9%. Nonparticipation will result in the full 9% penalty. 

In 2022, PTs and OTs will need to participate in 2 of the 4 MIPS categories, Quality Measures and Improvement Activities.  This course will cover all of the requirements that PTs an OTs must do in order to avoid the penalty and receive the 7% payment increase.

MIPS Eligibility

    • Eligible Clinician Types
    • Low-Volume Threshold
    • Reporting as an Individual or Group

Physical and Occupational Therapy Quality Measures

    • Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy – Neurological Evaluation
    • Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
    • Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
    • Documentation of Current Medications in the Medical Record
    • Preventive Care and Screening: Screening for Depression and Follow-Up Plan
    • Falls: Risk Assessment
    • Falls: Plan of Care
    • Elder Maltreatment Screen and Follow-Up Plan
    • Functional Outcome Assessment
    • Functional Status Change for Patients with Knee Impairments
    • Functional Status Change for Patients with Hip Impairments
    • Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments
    • Functional Status Change for Patients with Low Back Impairments
    • Functional Status Change for Patients with Shoulder Impairments
    • Functional Status Change for Patients with Elbow, Wrist or Hand Impairments
    • Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
    • Dementia Cognitive Assessment
    • Dementia: Functional Status Assessment
    • Education and Support of Caregivers for Patients with Dementia
    • Falls Screening for Future Fall Risk
    • Functional Status Change for Patients with Neck Impairments
    • Measures Removed

Improvement Activities

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