MIPS Update: 2019 Proposed Rule

Industry Update

Will you be required to
participate in MIPS next year?

After months of uncertainty, the proposed rule is finally available for comment. The current proposed rule states that as of January 1st, 2019, Physical and Occupational Therapists will be included in the MIPS (Merit-Based Incentive Payment System) program. At this point in time, Speech Therapists are still excluded from the program.

MIPS has been in existence for two years now and consists of the following categories: Quality (formerly PQRS), Promoting Interoperability (formerly Advancing Care Information and Meaningful use), Cost, and Improvement Activities. From the data currently provided, PTs and OTs will only be required to submit for the Quality (claims-based or registry-based) and Improvement Activities categories. The Promoting Interoperability and Cost categories will have their scoring weighted to zero.

As a result, TheraOffice has already begun the process of planning out changes to the software in order to ensure users remain compliant with the MIPS program. Additionally, even though Promoting Interoperability will be weighted to zero, TheraOffice will be proactively pursuing certification in the event that PTs become involved in that part of the program as well.

In conjunction with MIPS inclusion, as of January 1st, 2019, Functional Limitation Reporting will no longer be required. Providers will not have to submit FLR g-codes with modifiers. This entire section will be completely phased out of the program. However, this does not translate to a halt in functional testing. Functional testing is a way for clinics to attempt to track outcomes of their patients, and this practice will continue to be encouraged in the next program. This means that TheraOffice’s FunctionVibe application will still be a viable tool in assisting providers with the developing care and progress of their patients.

To accommodate these aforementioned changes, TheraOffice will be releasing an update before the end of the year to remain compliant. We will continue to communicate with our customer base throughout 2018 to ensure all of our customers are fully ready to comply with the required changes once they go into effect.

Any questions?
Contact our support department at (630) 455-1863 x2.

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