Final 2015 Physician Fee Schedule Rule Announces 1% Payment Rise for PT, Increase in PQRS Reporting, Delay of VM for PTs
The final 2015 Medicare physician fee schedule rule released by the Centers for Medicare and Medicaid Services (CMS) includes an aggregate increase in payment for physical therapy services of 1%–provided Congress stops implementation of a payment cut due to the flawed SGR formula by March 31. In addition, despite objections from APTA and other organizations, the new rule increases the number of Physician Quality Reporting System (PQRS) measures required for reporting of physical therapists (PTs) in private practice and other health care professionals to as many as 9.
The PQRS change will increase the number of individual measures PTs are required to report in order to avoid the 2016 2.0% PQRS penalty, from 3 to between 6 and 9, depending on whether the PT is using claims (9 required, or as many as apply to the provider), or registry (6 required, or as many as apply to the provider). As in 2014, the reports must be made on at least 50% of eligible Medicare patients. APTA opposed these changes.