Practices have until June 30 to register for PQRS GPRO
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Time is running out for group practices to register to participate in the 2015 Physician Quality Reporting System (PQRS) Group Practice Reporting Option (GPRO).  PQRS GPRO is an option available to groups with two or more eligible professionals. Alternatively, eligible professionals can participate in PQRS as individuals.  Eligible professionals, either individually or through the GPRO, must satisfactorily participate in PQRS to avoid a -2.0 percent payment adjustment in 2017.  More information is available on the PQRS Payment Adjustment Information web page.

Physicians in groups of all sizes and physician solo practitioners are also subject to the Value Modifier in 2017, based on performance in 2015. Under the Value Modifier, these physicians and groups must meet PQRS criteria to avoid an additional automatic downward adjustment (-2.0% or -4.0% depending on the group’s size). See What Physicians Need to do in 2015 for the 2017 VM on the Value Modifier web page for more information.

Groups can participate in the PQRS program for the 2015 performance period by selecting one of the GPRO reporting mechanisms by June 30, 2015, at 11:59pm ET:

  • Qualified PQRS Registry.
  • Electronic Health Record (EHR) via Direct EHR using Certified EHR Technology (CEHRT) or CEHRT via Data Submission Vendor.
  • Web Interface (for groups with 25 or more EPs only).
  • Consumer Assessment of Health Providers and Systems (CAHPS) for PQRS Survey via a CMS-certified Survey Vendor (as a supplement to another GPRO reporting mechanism). See CAHPS for PQRS Made Simple for complete details.

The GPRO Registration System can be accessed using a valid Individuals Authorized Access to the CMS Computer Services (IACS) account. The Centers for Medicare and Medicaid Services (CMS) strongly encourages groups to obtain an IACS account and register by June 26, since registration will close on June 30, 2015. Instructions for obtaining an IACS account with the correct role are provided on the PQRS GPRO Registration web page. Instructions for registering to participate in the 2015 PQRS GPRO are provided in the 2015 PQRS GPRO Registration Guide.

When urgent care centers are deciding whether to participate in PQRS as a group or to have their eligible professionals participate individually, UCAOA urges centers to take note of the following important considerations:

  • If a practice registers to participate in PQRS as a GRPO, it is obligated to that decision. Eligible professionals cannot then participate individually. Changes to registration status cannot be made after June 30, 2015.
  • Practices choosing to participate as a GPRO must select their reporting mechanism at the time of GPRO registration. This mechanism cannot be changed for 2015 once selected.
  • Practices that choose not to participate as a GPRO must ensure at least 50 percent of the eligible professionals in the group meet the PQRS criteria to avoid the 2017 PQRS payment adjustment as individuals for the group to avoid the automatic 2017 Value Modifier downward payment adjustment.
  • Eligible professionals who choose to participate in PQRS individually can report quality data codes via claims as well as using other reporting mechanisms. Claims reporting is not an option under the GPRO.

Additional Resource: UCAOA members can log in to purchase for FREE the recorded webinar 2015 PQRS Requirements: How to Avoid the PQRS Penalty in 2017.  

UCAOA to Offer PQRS Registry Reporting Option

UCAOA is pleased to announce it is teaming up with CECity to offer UCAOA members a Physician Quality Reporting System (PQRS) qualified registry reporting option at a discounted rate.  UCAOA member centers will be able to access this registry option for either individual or group practice PQRS reporting. Groups with 10 or more eligible professionals will receive an additional discounted rate.

Click here for further details.

Urgent care centers interested in participating in PQRS in 2015 as a group must first register with the Centers for Medicare and Medicaid Services. The registration deadline for the Group Practice Reporting Option (GPRO) is June 30, 2015. Registration is not necessary for eligible professionals who choose to participate in PQRS as individuals.

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