IMPORTANT: 2015 PQRS VALUE MODIFIER AND GPRO DEADLINE JUNE 30, 2015
Action for Physician Groups with two or More Eligible Professionals and Physician Solo Practitioners To Earn an Incentive Based on Performance and Avoid the Automatic CY 2017 Downward Payment Adjustment under the Value-Based Payment Modifier.
In 2015 PQRS, all physicians in groups of all sizes and physician solo practitioners are subject to the Value Modifier in 2017, based on performance in 2015 and MUST meet the criteria to avoid the downward payment adjustment under PQRS to avoid an additional automatic downward adjustment and qualify for adjustments based on their quality performance. Satisfactorily reporting via a PQRS GPRO is one way a group can avoid automatic downward adjustments and qualify for performance-based payment incentives under the Value Modifier.
NOTE: Physician groups with two or more EPs that choose not to register as a GPRO, MUST ensure that at least 50% of the EPs in the group meet the criteria to avoid the 2017 PQRS payment adjustment as individuals in order for the group to avoid the automatic 2017 Value Modifier downward payment adjustment (-2.0% or -4.0% depending on the group’s size). Please see the CMS document What Physicians Need to Do in 2015 for the 2017 VM for more information.
GPRO reporting is only available to group practices with 2 or more eligible professionals (EPs). To elect GPRO Registration must be completed April 1, 2015 -June 30, 2015 through PV PQRS registration system at: https://portal.cms.gov/wps/portal/unauthportal/home. To register group practice must first establish an IACS account at the following site: https://www.cms.gov/Research-Statistics-Data-and-Systems/CMS-Information-Technology/IACS/index.html?redirect=/IACS
For 2015 PQRS NextGen Healthcare offers two reporting mechanisms for Individuals and GPROs:
- Qualified PQRS Registry
- Electronic Health Record (EHR) – CEHRT via Data Submission Vendor
Information about other 2015 PQRS reporting mechanisms is available at: http://www.cms.gov/ PQRS
More Information:
More information about registering for the 2015 PQRS GPRO is available at:
More information about the Value Modifier program is available at: http://www.cms.gov/PhysicianFeedbackProgram
For questions about participating in the 2015 PQRS as a group or as an individual or obtaining an IACS account, please contact the QualityNet Help Desk at 1-866-288-8912 or via email at qnetsupport@hcqis.org.
For questions about the Value Modifier, please contact the Physician Value Help Desk at 1-888-734-6433 (select option 3).