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HTS – PQRS: Choosing Group or Individual Reporting for PQRS

April 3, 2016 by Dale Applegate Leave a Comment

04032016-Group-or-Individual

PQRS: Choosing Group or Individual Reporting for PQRS

April 3, 2016
Written by Sarah Leake

Registration to report as a group opened April 1, 2016 and closes June 30, 2016. Groups of 2 or more EPs can participate in PQRS using Group Reporting Option (GPRO) reporting methods. At the time of registration you must indicate your submission method –

  • Qualified PQRS Registry
  • Direct EHR or via Data Submission Vendor
  • Web interface (groups of 25 or more only)
  • Qualified Clinical Data Registry

The link 2016 PQRS GPRO Training Guide is an intermediary-level resource that provides information to eligible professionals about the requirements and options for participating in PQRS through the GPRO for the 2016 program year. It includes tips on choosing the GPRO reporting mechanism that best fits your group practice.  Below are some considerations in determining if you will report 2016 PQRS using the group reporting option.

Benefits

  • Successfully reporting will cover all providers in Group TIN from PQRS and VM penalties
  • Registry: Report 9 measures/3 domains and not all providers need to be represented in measures
  • Individual providers who have difficulty with reporting requirement for individuals will be eligible

Items to Consider

  • Group practices must contract with CMS-certified CAHPS Vendor and bear survey admin costs (if 100+ group)
  • For groups of 2 or more providers choosing to report individually, 50% of providers must successfully report PQRS to avoid VM adjustment.
  • Must register as group by 6/30/2016 including method
  • Measures may not be applicable to all providers
  • May impact public reporting
  • Look at your provider turnover

Note  In order to register GPRO you will need a valid Enterprise Identity Management (EIDM) account.  Watch for another post on this topic!

Links

Check out this document for how to register for GPRO in EIDM 2016 PQRS GPRO Registration Guide.

Leave a reply, ask a question or share information using the “Leave a Reply” section below, or email Sarah Leake directly with your questions or comments.

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Filed Under: PQRS Tagged With: CAHPS, EIDM, GRPO, PQRS, TIN, VM

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