GPRO Registration Deadline is June 30

Gblog_stopwatchroup practices with two or more providers that bill under a single tax identification number (TIN) may choose to report their 2016 PQRS measures as a group. To qualify for this option, the group practice must register for GPRO by June 30. Once you register for GPRO, you cannot later decide to return to claims-based reporting.

Individual providers who bill under their own EIN and group practices that don’t register for GPRO should continue claims-based reporting. If reporting individually, at least 50% of providers in a group practice must successfully participate in PQRS for all providers in the group to avoid a negative Medicare payment adjustment in 2018.

Registering for GPRO

To register for GPRO, complete the following:

  1. Go to the CMS Portal.
  2. Log in or create an account.
  3. Click the PV-PQRS tab and select Register from the drop-down.
    If you don’t have access to PV-PQRS, click Request Access Now on the right side of the page.
  4. Click the Register link to the right of the group practice name.
  5. Enter the required Organization Information and Requestor Information.
  6. Select the Group Size based on the number of providers billing under a single TIN.
  7. Select CAHPS
    Note: Groups smaller than 100 providers are not required to participate in CAHPS and should opt out.
  8. Enter the Contact Information.
  9. Verify the summary and click Submit.

For help, refer to the 2016 PQRS GPRO Registration Guide or call the QualityNet Help Desk at 866.288.8912.

Reporting PQRS Data

After registering for GPRO, continue to see patients and document PQRS measures. You may discontinue claims-based reporting. Submit your PQRS data via the CMS Quality Reporting Portal by February 28, 2017.

Resources

CMS Extends the Deadline for Reporting 2015 Meaningful Use

Last week, CMS pushed the deadline for attesting to meaningful use (MU) from February 29 to Friday, March 11. This extension applies only to the Medicare EHR Incentive Program for the 2015 reporting period. Eligible providers who are participating in their state’s Medicaid EHR incentive program should check with their state to determine their attestation deadline.

This 12-day extension will come as welcome relief to many providers who haven’t yet attested to their 2015 meaningful use performance. A successful MU attestation is required to avoid a 3% negative Medicare payment adjustment in 2017.

MU Attestation Resources

To help you complete your MU attestation by March 11, we’ve compiled these helpful resources:

Physician Quality Reporting System (PQRS)

This MU extension does not affect the February 26 deadline for Medicare Part B claims-based PQRS reporting.

PQRS vs. CQMs—What’s the Difference and How Do I Report Them?

There’s a lot of confusion and frustration in the healthcare industry right now about the government quality programs, where they overlap (and where they still don’t), and how to report the correct information.

A (Brief) History

The Physician Quality Reporting System (PQRS) has been around since 2007. Traditionally providers voluntarily reported at least three measures by including level II CPT codes on their Medicare Part B claims, and they received an incentive payment from CMS.

Clinical Quality Measures (CQMs) were introduced in 2011 as part of the EHR Incentive Program, better known as meaningful use. This program required providers to manually enter a calculated percentage for six to nine measures to receive an incentive as part of meaningful use.

A Confluence of Program Changes

Recently, the Centers for Medicare and Medicaid Services (CMS) initiated plans to align the PQRS and the CQM measures to make reporting easier for providers. At the same time, CMS is laying the groundwork to discontinue the claims-based PQRS reporting that providers have become accustomed to. CMS’ goal is for providers to electronically submit a file that contains all of their yearly quality data to satisfy the requirements for both PQRS and CQMs. You may have heard of this file referred to as QRDA. Continue reading