Group Practice Reporting Option (GPRO)

 

KDJ Consultants offers medical record review services for Group Practice Reporting Option – GPRO.

As defined on the CMS.gov website:

Centers for Medicare and Medicaid Services (CMS) created a new group practice reporting option (GPRO) for the Physician Quality Reporting System (PQRS) in 2010. Group practices participating in GPRO that satisfactorily report data on PQRS measures for a particular reporting period are eligible to earn a PQRS incentive payment equal to a specified percentage of the group practice’s total estimated Medicare Part B Physician Fee Schedule (PFS) allowed charges for covered professional services furnished during the reporting period. 

  • A “group practice” is defined as a single Tax Identification Number (TIN) with 2 or more individual eligible professionals (as identified by Individual National Provider Identifier [NPI]) who have reassigned their billing rights to the TIN.
  •  Once a group practice (TIN) has self-nominated or registered to participate in PQRS GPRO, the method chosen is the only PQRS submission method available to the group and all individual NPIs who bill Medicare under the group’s TIN.
  • If an organization or eligible professional changes TINs, the participation under the old TIN does not carry over to the new TIN, nor is it combined for final analysis.
  •  Incentive payment for PQRS is based on satisfactory submission of quality data via registry OR completion of the GPRO Web Interface.

 

For complete information see the Centers for Medicare & Medicaid Services (CMS) PQRS website at http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS