Should I report as a group or as an individual?
If you work in group practice, you have the choice to report as an individual or as a group. However, if you decide to report as a group, ALL eligible clinicians must report under the group’s tax identification number (TIN) – no one is allowed to report individually. Similarly, if your group elects to report together, even if you would be exempt under the low-volume threshold on the individual level, you MUST participate with the group. Under the group reporting option, all eligible clinicians will report on the same measures in each of the four categories.
There are several considerations that group practices should consider before making an election but here are a few big ones:
How do you plan to report? For example, claims-based quality reporting is only allowed for those reporting as individuals, while only groups of 25 or more eligible clinicians are allowed to report using the CMS web interface.
What will be easiest for the staff? It can be quite burdensome for staff to track and report multiple measures for multiple clinicians.
Do some of your clinicians not have applicable quality measures? In that case, it may be easier to report as a group and report on measures that DO apply to some of the clinicians (the measures selected do not need to apply to each eligible clinician in a group).
If you do choose to report as a group, groups planning to use the CMS Web Interface or administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey to submit data for the Merit-based Incentive Payment System (MIPS), must register with the CMS Enterprise Portal
by June 30, 2017. Please note that clinicians do not need to notify CMS of their intent to participate in MIPS as a group. Registration is ONLY
required if a group chooses to submit data using the CMS Web Interface (only available to groups of 25 or more clinicians), or administer the CAHPS for MIPS Survey.
To learn more about MACRA, MIPS and APMs please visit AANEM’s website here
. Please contact AANEM’s policy department at email@example.com
with any questions.