Thought Leadership Webinar: What is GPRO and CAHPS?

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.

Thought Leadership Webinar: The 411 on MIPS

In April 2015, Congress addressed and ended the highly unpopular SGR Fee-For-Service Medicare reimbursement model in favor of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

MACRA moves healthcare away from a fee-for-service mindset towards a value-based care mindset where high-quality care at a reduced cost is rewarded.

Over the course of this year, we will be hosting a series of webinars to help you understand how to navigate MACRA and how to prepare for the changes.

In this webinar session, Moshe Starkman, Equation Senior Consultant and Product Specialist, discusses:

  • The creation of the Merit-Based Incentive Payment System (MIPs) including the four components of the MIPS composite performance score.
  • The differences between PQRS and Quality component of the MIPS CPS.
  • The proposed Medicare reimbursement bonus and penalty schedule.

Fill out the form below to watch the webinar.