Quality Payment Program Small Practices Newsletter: October 2025
Quality Payment Program Small Practices Newsletter: October 2025
The Quality Payment Program (QPP) Small Practices Newsletter is a monthly resource that provides small practices (15 or fewer clinicians) with program updates, upcoming QPP milestones, and resources to support their continued participation and success in QPP. The newsletter is normally disseminated on the second Tuesday of each month. This edition was held until the third Tuesday of the month to include the 2026 MIPS Payment Adjustment and 2024 Targeted Review information.
Please share this newsletter with your fellow clinicians and practice staff and encourage them to sign up to receive this monthly resource.
At-a-Glance: Required and Recommended Activities for Successful Participation in QPP
Each month, we share required and recommended activities for small practices to support their successful participation in QPP. The activities follow a rolling quarter approach, letting you see activities for the previous month, the current month, and the following month.
The Centers for Medicare & Medicare Services (CMS) has released Merit-based Incentive Payment System (MIPS) payment adjustment information for the 2024 performance period/2026 MIPS payment year.
Your 2024 MIPS final score determines the MIPS payment adjustment you’ll receive in 2026.
A positive, negative, or neutral payment adjustment will be applied to the Medicare paid amount for covered professional services furnished in 2026.
Access Your MIPS Payment Adjustment
Sign in to the Quality Payment Program (QPP) website using the same credentials that allowed you to submit your 2024 MIPS data and check your 2024 MIPS final score. Refer to the QPP Access User Guide (ZIP, 4MB) for more information.
Click “View Feedback” on the home page and select your organization (Practice, Alternative Payment Model (APM) Entity, Virtual Group).
Practice representatives can access individual, subgroup, and group performance feedback (final scores and payment adjustments).
APM Entity representatives can access APM Entity-level performance feedback (final scores and payment adjustments).
Virtual group representatives can access virtual group-level performance feedback (final scores and payment adjustments).
Third party representatives can’t access final feedback or payment adjustment information.
If you don’t have a HARP account or QPP role, please refer to the Register for a HARP Account (re: HARP account) and Connect to an Organization (re: QPP role) documents in the QPP Access User Guide (ZIP, 4MB) and start the process now.
Payment Adjustment and Performance Feedback Resources:
2024 MIPS Performance Feedback FAQs (PDF, 2MB)– Reviews the information available in performance feedback and how to access it. (We’re in the process of updating this resource with the Targeted Review deadline.)
Individual clinicians, groups, subgroups, virtual groups, APM Entities (including Shared Savings Program ACOs), designated support staff and authorized third party intermediaries may request that CMS review their MIPS final scores through a process called targeted review.
When to Request a Targeted Review
If you believe there’s an error in the calculation of your MIPS final score and associated MIPS payment adjustment, you can request a targeted review now.
The targeted review period will close November 14, 2025 at 8p.m. ET (1), 30 days after the release of MIPS payment adjustments.
For example:
Data were submitted under the wrong TIN or National Provider Identifier (NPI).
You have Qualifying APM Participant (QP) status and shouldn’t receive a MIPS payment adjustment.
Performance categories weren’t automatically reweighted even though you qualify for reweighting due to extreme and uncontrollable circumstances.
Note: This isn’t a comprehensive list of circumstances. If you have questions about whether your circumstances warrant a targeted review, please contact the QPP Service Center by phone at 1-866-288-8292 (TRS: 711) or by email at QPP@cms.hhs.gov.
How to Request a Targeted Review
To access your MIPS final score and performance feedback and request a targeted review:
Sign in using your HARP credentials (ACO-MS credentials for Shared Savings Program ACOs); these are the same credentials that allowed you to submit your 2024 MIPS data.
Click “Targeted Review” on the left-hand navigation.
CMS generally requires documentation to support a targeted review request, which varies by circumstance. A CMS representative will contact you about providing any specific documentation required.
Targeted Review Resources:
2024 Targeted Review User Guide (PDF) – Reviews the process for requesting a targeted review and examples for when you would or wouldn’t request a targeted review.
(1) Note: The federal government shutdown doesn’t affect your ability to submit a targeted review request by the above deadline, however it may affect our response time to resolve your request.
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