Small Practices Have Virtual Option for Quality Payment Program

The Centers for Medicare and Medicaid Services (CMS) included a virtual group option in the Quality Payment Program (QPP) proposed rule that starts in 2018 as part of the Medicare Access and CHIP Reauthorization Act (MACRA) legislation. This option allows solo practitioners and practices with 10 or less clinicians to submit aggregated data for the Merit-based Incentive Payment System (MIPS) in 2018. Eligible practices have until Dec. 1 to form a virtual group. Learn more about this option and review this checklist to get started.

Why is this important? Participating – or not — in the QPP will impact your reimbursement. You may earn a positive MIPS payment adjustment for 2019 if you submit 2017 data by March 31, 2018.  If you participate in an Advanced Alternative Payment Model (AAPM)  in 2017, then you may earn a 5 percent incentive payment in 2019.  MIPS-eligible clinicians opting not to participate will receive a 4 percent reduction in Medicare reimbursement in 2019.

The North Carolina Health Education Centers (NC AHEC) are working with Alliant Quality to help small practices (15 or fewer providers) in North Carolina understand and enroll in the Quality Payment Program (QPP), including the virtual group option. Contact Alliant Quality at or NC AHEC at The North Carolina Medical Society (NCMS) also offers a variety of online resources to help you understand this new program and get started. Check them out on our MACRA page on our website.

Please contact the NCMS’ Belinda McKoy at if you are interested in learning more about becoming part of a virtual group.


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