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GPRO Web Interface

Group Practice Reporting Option (GPRO) Web Interface

2015 Registration for PQRS GPRO Web Interface

The information posted on this page is for groups who have registered with the Centers for Medicare & Medicaid Services (CMS) to report Physician Quality Reporting System (PQRS) measures through the Group Practice Reporting Option (GPRO) Web Interface. This includes groups reporting for PQRS as well as groups participating as Accountable Care Organizations (ACOs) either through Medicare's Shared Savings Program or through the Pioneer ACO Model. The GPRO Web Interface is a secure internet-based application available in the Physician and Other Health Care Professionals Quality Reporting Portal (Portal) to pre-registered users.

For groups electing this mechanism of reporting, CMS will pre-populate the GPRO Web Interface with a sample patient population. Successful completion of the 17 Web Interface measures for the required number of patients will determine PQRS payment adjustment subjectivity and performance rates for the measures.

For the 2015 program year, a "group practice" is defined as a single Taxpayer Identification Number (TIN) with 2 or more individual eligible professionals (EPs) (as identified by individual National Provider Identifier [NPI]) who have reassigned their billing rights to the TIN.

Once a PQRS group practice TIN has registered to take part in PQRS GPRO, the reporting mechanism chosen is the only PQRS submission mechanism that will be analyzed by CMS to determine payment adjustment subjectivity for the group and all individual associated NPIs who bill Medicare under the group's TIN.

If an organization or individual EP changes TINs, the registration under the old TIN does not carry over to the new TIN, nor is it combined for final analysis.

If a TIN changes the name of the organization after the 2015 PQRS GPRO registration period ends, the name used for registration will appear on program feedback.

2015 Registration for PQRS GPRO Web Interface

PQRS group practices choosing to take part in PQRS through the GPRO Web Interface must register by June 30, 2015. Registration must be completed online through the Physician Value- Physician Quality Reporting System (PV-PQRS) Registration System. For additional information on GPRO Web Interface registration, please refer to the 2015 PQRS GPRO Requirements document.

2015 GPRO Measures Using the GPRO Web Interface Reporting Mechanism – Submission of Data in 2016

The following documents listed below can be found within the 2015 GPRO Web Interface Measures List, Narrative Measure Specifications, and Release Notes file:

  • The 2015 Group Practice Reporting Option (GPRO) Web Interface Disease Modules, Care Coordination/Patient Safety and Preventive Care Measures List document which consists of the (17) 2015 GPRO Web Interface reporting mechanism measures.
  • The 2015 GPRO Web Interface Narrative Measure Specifications which provides a description of each of the 17 measures.
  • The 2015 GPRO Web Interface Narrative Specification Release Notes which provides a list of changes to existing measures made since the release of the 2014 GPRO Narrative Measure Specifications, Version 5.

Links to the 2015 GPRO Web Interface Supporting Documents can be found below. These documents have been posted by module for program year 2015. Each Excel document contains the following tabs: Patient Confirmation, Data Guidance, and Downloadable Resource Tables, which include coding for each measure. Additionally, the “2015 Group Practice Reporting Option Web Interface Supporting Documentation Release Notes” are posted, documenting changes between program year 2014 and program year 2015.

2015 GPRO CAD Supporting Documents v6.0
2015 GPRO CARE Supporting Documents v6.0
2015 GPRO DM Supporting Documents v6.0
2015 GPRO HF Supporting Documents v6.0
2015 GPRO HTN Supporting Documents v6.0
2015 GPRO IVD Supporting Documents v6.0
2015 GPRO MH Supporting Documents v6.0
2015 GPRO PREV Supporting Documents v6.0
2015 GPRO Supporting Document RN

Links to the documents containing performance rate calculation algorithms for the 17 GPRO Web Interface measures can be found below:

2015 GPRO CAD Flow v3.0
2015 GPRO CARE Flow v3.0
2015 GPRO DM Flow v3.0
2015 GPRO HF Flow v3.0
2015 GPRO HTN Flow v3.0
2015 GPRO IVD Flow v3.0
2015 GPRO MH Flow v3.0
2015 GPRO PREV Flow v3.0

2015 GPRO Web Interface Reporting Made Simple

This beginner-level document applies to group practices that have registered to take part in 2015 PQRS using the GPRO Web Interface. To view click on following link: 2015 GPRO Web Interface Made Simple.  

2015 GPRO Web Interface Assignment Methodology Specifications

This document describes the process for assigning beneficiaries to a group practice participating in the Physician Quality Reporting System (PQRS) Group Practice Reporting Option (GPRO) via the Web Interface or the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for PQRS. To view click on the following link: 2015 GPRO Web Interface Assignment Methodology Specifications [PDF, 346KB]

Please note: To avoid the 2017 PQRS negative payment adjustment, group practices taking part in PQRS GPRO via the GPRO Web Interface must meet the requirements for satisfactory reporting.  

For educational resources to assist groups reporting through mechanisms other than the GPRO Web Interface, see the appropriate section(s) on the left sidebar.

2015 GPRO Web Interface Support Calls

CMS will host support calls for PQRS group practices that registered to report via the GPRO Web Interface and ACOs submitting data via the GPRO Web Interface. Support calls will be held on the following dates:

  • 10/20/2015, 2:00-3:30 PM ET: Selected CAHPS for PQRS - What are the next steps?
  • 1/12/2016, 1:00-2:30 PM ET: GPRO Web Interface Q&A Session
  • 1/26/2016, 1:00-2:00 PM ET: GPRO Web Interface Q&A Session
  • 1/27/2016, 1:00-2:00 PM ET: GPRO Web Interface Q&A Session
  • 1/28/2016, 1:00-2:00 PM ET: GPRO Web Interface Q&A Session
  • 2/18/2016, 1:00-2:00 PM ET: GPRO Web Interface Q&A Session
  • 2/25/2016, 1:00-2:00 PM ET: GPRO Web Interface Q&A Session
  • 3/10/2016, 1:00-2:00 PM ET: GPRO Web Interface Q&A Session
  • 3/17/2016, 1:00-2:00 PM ET: GPRO Web Interface Q&A Session
  • 4/7/2016, 1:00-2:00 PM ET: GPRO Web Interface/CAHPS Lessons Learned

Disclaimer

If reporting for PQRS through another CMS program (such as the Medicare Shared Savings Program, Comprehensive Primary Care Initiative, Pioneer ACO), please check the program’s requirements for information on how to report quality data to avoid the PQRS payment adjustment.  Please note, although CMS has attempted to align or adopt similar reporting requirements across programs, EPs should look to the respective quality program to ensure they satisfy the PQRS, Medicare Electronic Health Record (EHR) Incentive Program, Value-Based Payment Modifier (Value Modifier), etc. requirements of each of these programs.