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.
Merit-Based Incentive Payment System (MIPS)
Recorded Webinar: Merit-Based Incentive Payment System for Physical and Occupational Therapists
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 2020, 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.