2016 Group Practice Reporting Option (GPRO)

2016 Group Practice Reporting Option

APAPO PQRSPRO 2016 CMS PQRS Registry supports GPRO!

The Group Practice Reporting Option (GPRO) with the APAPO PQRSPRO 2016 Registry offers group practices the opportunity to reporting quality measure data on 50% of Medicare patient visits for at least 9 individual measures from 3 or more NQS domains, including at least one cross-cutting measure. If at least one member of the group has eligible patient visits to report, every member of the group will avoid the 2% 2018 penalty for non-reporting. A group is identified as 2 or more eligible providers (EPs) billing Medicare under the same Tax ID Number (TIN).

  • Before June 30, 2016, group practices must register with CMS to signal participation PQRS Group Practice Reporting Option (GPRO).
  • An individual provider who is a member of a group practice participating in PQRS GPRO is not eligible to separately earn a PQRS incentive payment as an individual under that same TIN (that is, for the same TIN/NPI combination).
  • The Value-Based Payment Modifier (VM) will apply in 2018 to all physicians. In the 2018 VM, groups with between 1 and 9 EPs will not receive a downward adjustment under quality-tiering (upward or neutral only), and groups of 10 or more EPs may receive an upward, downward or no adjustment, based on national benchmarks of the combination of PQRS performance data (quality) and 2016 claims (cost).
  • CMS Registration for GPRO is required, open to all practices with 2 or more providers, and MUST be accomplished through CMS web portal between April 1, 2016 and June 30, 2016.
  • Once a group practice (TIN) registers to participate in the GPRO, this is the only PQRS reporting method available to the group and all individual NPIs who bill Medicare under the group’s TIN in 2016!
  • Practice groups of 100 or more that register for the GPRO and have at least 1 face-to-face encounter on claims in 2016 MUST report all CAHPS for PQRS survey measures, via a qualified CAHPS for PQRS certified survey vendor, and report at least 6 additional measures, covering at least 2 NQS domains, including at least one cross-cutting measure, to successfully avoid the -2% Payment Adjustment and associated VM adjustments in 2018
  • For executing 2016 CAHPS for PQRS surveys, CMS will draw a sample of Medicare patients (“beneficiaries”) assigned to the practice. For practices of 100 or more providers, the desired sample is 860 and the minimum required sample is 416. For practices of 25 to 99 eligible providers, the desired sample is 860 and the minimum required sample is 255. For practices of 2 to 24 eligible providers, the desired sample is 860 and the required minimum sample is 125

For questions about participating in the 2016 PQRS as a group or as an individual or obtaining an IACS account, contact the QualityNet Help Desk.

  • Monday – Friday: 8:00 am – 8:00 pm EST
  • Phone: (866) 288-8912 (TTY 1-877-715-6222)
  • Email: qnetsupport@hcqis.org

Contact us today to discuss your 2016 PQRS reporting options!

I want to compliment you and your colleagues for fine work.

Practice Administrator, Internal Medicine, Saint Augustine, FL

I've looked at all of them now and I'm convinced that yours is the best registry. So professional, so simple to use and backed by knowledgeable, personal support. I'm confident that I'll get PQRS reporting right!

Private Group Practice, Colorado

This is an intuitive interface that gathers just the info you need and nothing more. Whoever put it together had a good understanding of the info needed and how to set it up logically.

Physician, General Practice Network, Greensboro, NC

I recommended this solution to my colleagues and they're signing up too!

Physician Assistant, Family Care Group Practices, Chicago, IL

FYI, we did get a nice check from CMS (over $20,000!) so it is well worthwhile.

University of Pennsylvania

"I didn't know that I could have it any better. Somebody needs to let others know about all of the benefits of PQRSPRO!"

RN/Coder, Private Cardiology Practice

About 80% of our patient populate are Medicare, so CMS PQRS program incentives have been very lucrative for us.

RN/Coder, Private Cardiology Practice

We used a popular, more expensive PQRS Registry last year and had issues with the website but could not get anyone on the phone and had to leave voicemail and follow-up with an email.  For the money that we paid, they should have better customer service. PQRSPRO customer service is a Rolls Royce compared to the Volkswagen I experienced last year. When I called, I spoke to someone right away!

RN/Coder, Private Cardiology Practice

The PQRSPRO Registry system was easier to use than the other one.  Chart abstraction was simple and easy to understand and all measure questions were asked at once.  The other system made me wait for a prompt to move on once I answered one question – a much slower process.

RN/Coder, Private Cardiology Practice

The cost of PQRSPRO is much more reasonable than any other!

RN/Coder, Private Cardiology Practice

The final measure report was great and will also be useful for submitting to our malpractice insurance carrier to qualify for a discounted premium rate.

RN/Coder, Private Cardiology Practice

Users reported receiving up to $70,000 from participation in 2010 via our system.

President, Healthmonix

We are very happy with you and your company. Thank you for all of you efforts.

After trying for a couple years to receive the bonus, we finally received it this year using your system.

Your support has been awesome!

I wish we would've known about you three years ago! This was a breeze!

Group Cardiology Practice, Illinois

We are very satisfied with your process and service and confident that our practice will benefit from the incentive and avoid the penalties.

Intern, Ophthalmology Practice


PQRSPRO supports 2016 GPRO registry reporting!

CMS Disclaimer

If reporting for Physician Quality Reporting System (PQRS) through another Centers for Medicare and Medicaid Services’ (CMS) program (such as the Medicare Shared Savings Program, Comprehensive Primary Care Initiative, Pioneer Accountable Care Organizations), please check the program’s requirements for information on how to report quality data to earn a PQRS incentive and/or avoid the PQRS payment adjustment.

Please note, although CMS has attempted to align or adopt similar reporting requirements across programs, eligible professionals (EPs) should look to the respective quality program to ensure they satisfy the PQRS, Electronic Health Record (EHR) Incentive Program, Value-based Payment Modifier (VM), etc. requirements of each of these programs.

You should not select that you participate in the Medicare PQRS-EHR Incentive Pilot when you attest to this question on the CMS website. The Healthmonix Registry is NOT a qualified submission vendor for clinical quality measures for purposes of meaningful use.