Understanding how to navigate the new CMS value-based reimbursement reporting guidelines and regulations can be tricky, but certainly not impossible.
In this second session of our educational webinar series addressing value-based reimbursement, we explore group reporting options (GPRO), review the Consumer Assessment of Healthcare Providers and Systems (CAHPS) and examine its requirements, patient eligibility, & survey implementation.
So what exactly is GPRO and CAHPS?
Group practices with two or more eligible clinicians (ECs) can register with CMS to report PQRS data through the group practice reporting option (GPRO). These group practices must have grouped their National Provider Identifiers (NPI) under a single Taxpayer Identification Number (TIN) umbrella to be eligible. So, if your practice, hospital, and/or health network represents two or more eligible clinicians that bill under the same TIN then you’re eligible for group reporting.
CAHPS includes consumer and patient surveys that ask them to report on and evaluate their healthcare experiences. CAHPS surveys are not customer service surveys. Instead, the survey’s cover topics that are important to consumers, focusing on those aspects of quality consumers are best qualified to evaluate.
If your group practice registers for PQRS by the June 30th deadline and consists of between 2 and 99 ECs, then you may elect to include CAHPS for PQRS as part of your PQRS submission. If your group practice consists of 100 or more eligible clinicians (ECs) then it is actually required.
To learn more, watch the video below.