Every November, Medicare releases its Final Rule. And nestled among the many regulatory updates—like warm buns in a basket—are the PQRS requirements for the coming year. The 2016 Final Rule reveals that not much is changing for rehab therapy providers on January 1. But, even so, satisfying PQRS requirements is rarely a piece of cake—er, bite of bun? Anyway, as I was saying: The rules can seem convoluted, and adhering to them requires precise documentation. Here’s how an EMR can help you remain compliant in the following areas:
In 2016, eight measures apply to physical therapy, ten to occupational therapy, and a whopping one measure applies to speech-language pathology. And the reporting requirements are pretty strict, as Brooke Andrus explains in this article: “Each eligible professional (EP) must report on nine measures across three NQS domains for at least 50% of Medicare Part B FFS patients.” That means PTs and SLPs are automatically subject to the MAV process, which allows Medicare to review their data to ensure they’ve reported on the maximum number of available measures for their specialties. With all of these complexities in mind, how do you track your progress? And how do you know that you are reporting on all of the measures available to you?
Things can get really complicated when there’s that much data to account for, but the right EMR system makes the process simple by providing you with user-friendly reports that accurately display your progress. That way, you can adjust your processes as the year goes on. Sure beats trying to manually track all of that data.
Satisfying Measures Requirements
One of the potential time-sucks of reporting PQRS data properly is the need to document your measures. It can be difficult to remember which measures to report—and at which intervals. A great EMR will prompt you to report any necessary PQRS data at the right time (e.g., some measures are only reported at initial evaluation, while others require reporting at every visit). That way, you take the guesswork out of satisfactorily reporting, and you can always count on your documentation to be compliant.
Something to be aware of: as always, your bottom line depends on your compliance. When it comes to PQRS, you’re looking at a hefty 2% negative payment adjustment in 2018 if you don’t satisfactorily report on the measures that apply to your specialty in 2016. But, if you use an EMR, you don’t have to leave anything to chance. You’ll know exactly how many patients you’ve seen, which data you’ve reported, and how far you’ve progressed toward meeting the minimum requirements for reporting.
Okay, so now you know that an EMR can help you easily track your PQRS data, satisfy the reporting requirements for all your measures, and avoid the penalty. But, I’ve yet to cover one very important part of this whole shebang: actually submitting your PQRS data to Medicare. Here’s the cold, hard truth: not every EMR is equipped to handle your data. So, make sure you look for an EMR with a certified CMS PQRS registry, meaning the system automatically compiles and submits your data to CMS on your behalf. No hassle necessary.
Attempting to report on PQRS without an EMR is a lot like preparing a hearty meal without hot buns: sad and pointless. All kidding aside, keeping track of all of the regulatory changes on your own is enough to make your head spin. But the right EMR can help you avoid penalties, stay compliant, and cleanly submit data to CMS like a hot knife through butta’.