---
title: Practice Support Services | quality payment program
description: quality payment program | Health care practices in North Carolina face many challenges. Our quality improvement coaches (QICs) are trained to work with you to transform the way in which care is delivered in your practice.
---

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# Practice Support Update Blog

## [Now Available: 2026 MIPS Payment Adjustment Information](https://go.northwestahec.wakehealth.edu/practicesupport/now-available-2026-mips-payment-adjustment-information)

 Oct 15, 2025, 4:39:19 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [quality payment program](https://go.northwestahec.wakehealth.edu/practicesupport/topic/quality-payment-program), [practice management](https://go.northwestahec.wakehealth.edu/practicesupport/topic/practice-management), [CMS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/cms)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/now-available-2026-mips-payment-adjustment-information#comments-listing)

*![Payment  Concept. Button on Modern Computer Keyboard with Word Partners on It.](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Payment%20%20Concept.%20Button%20on%20Modern%20Computer%20Keyboard%20with%20Word%20Partners%20on%20It..jpeg?width=300&height=225&name=Payment%20%20Concept.%20Button%20on%20Modern%20Computer%20Keyboard%20with%20Word%20Partners%20on%20It..jpeg)*

*From the CMS QPP Updates Newsletter:*

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/now-available-2026-mips-payment-adjustment-information)

## [2024 MIPS Final Scores and Targeted Review Available Mid-September](https://go.northwestahec.wakehealth.edu/practicesupport/2024-mips-final-scores-and-targeted-review-available-mid-september)

 Aug 27, 2025, 4:42:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [MIPS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/mips), [quality payment program](https://go.northwestahec.wakehealth.edu/practicesupport/topic/quality-payment-program), [CMS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/cms)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/2024-mips-final-scores-and-targeted-review-available-mid-september#comments-listing)

*![Medicine doctor hand working with modern computer interface as medical concept-4](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Medicine%20doctor%20hand%20working%20with%20modern%20computer%20interface%20as%20medical%20concept-4.jpeg?width=300&height=159&name=Medicine%20doctor%20hand%20working%20with%20modern%20computer%20interface%20as%20medical%20concept-4.jpeg)*

*From CMS Quality Payment Program Newsletter:*

 

As previously announced (QPP listserv sent 7/25/2025), there was a delay with receiving some of the final Medicare claims data needed to calculate cost measures, which is delaying the release of MIPS final scores for the 2024 performance year and the Targeted Review period.

- **We’re currently targeting mid-September for releasing 2024 MIPS final scores and opening the Targeted Review period.**

MIPS payment adjustments for the 2026 MIPS payment year will be released approximately one month after the release of final scores. The Targeted Review period will close 30 days after the release of MIPS payment adjustments. From now until mid-September, you’ll continue to be able to access measure and activity-level scores for the data you reported during the submission period. However, performance period benchmarks are part of final scoring and won’t be available until final scores are released. In the meantime, we encourage you to confirm your MIPS eligibility and review the following scoring resources so that you’re prepared to understand your scores when they’re released. **To confirm your eligibility for a MIPS payment adjustment**, enter your National Provider Identifier (NPI) on the QPP Participation Status Look Up tool (check “PY 2024”) or sign into the QPP website and navigate to the Eligibility & Reporting page on the left hand navigation. Review pages 12 – 16 of the 2024 MIPS Eligibility and Participation Guide (PDF) for more information about what you see.

**Review these scoring resources:**

- [2024 Traditional MIPS Scoring Guide (ZIP, 6MB)](https://go.northwestahec.wakehealth.edu/hubfs/Traditional-MIPS-Scoring-Guide-for-the-2024-Performance-Year.pdf)
- 2024 APP Scoring Guide, included in [the 2024 APP Toolkit (ZIP, 2MB)](https://go.northwestahec.wakehealth.edu/hubfs/2024-APP-Toolkit.zip)
- [2024 MVPs Implementation Guide (PDF, 1MB)](https://urldefense.com/v3/__https://links-2.govdelivery.com/CL0/https:*2F*2Fqpp-cm-prod-content.s3.amazonaws.com*2Fuploads*2F2778*2F2024-MVPs-Implementation-Guide.pdf/1/01010198ecac613a-47c597b9-202a-47be-95d7-a5ef65d862b1-000000/m8yqwb2iAE96BamfZzeL8ErIXdm9argqnYb8lQsrASU=420__;JSUlJSU!!Kv7QgGdTlhIaqSqT!MEfQC04qsOBmvdcRFnXKVqacG7FexQqzab3QOr22zYLP7GbEH7OrV9vz7HaLEZaNwxnroTXNRkoWts37jf3lfV_8KpKhTwI5YORKyefCBw$)

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/2024-mips-final-scores-and-targeted-review-available-mid-september)

## [QPP Newsletter Updates](https://go.northwestahec.wakehealth.edu/practicesupport/qpp-newsletter-updates)

 Jul 16, 2025, 9:30:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [quality payment program](https://go.northwestahec.wakehealth.edu/practicesupport/topic/quality-payment-program), [practice management](https://go.northwestahec.wakehealth.edu/practicesupport/topic/practice-management), [CMS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/cms), [Medicare advantage](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicare-advantage)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/qpp-newsletter-updates#comments-listing)

*Today we bring you updates from the latest CMS QPP Newsletter for Small Practices:*

CMS Proposes Policy Changes for Quality Payment Program

The Centers for Medicare & Medicaid Services (CMS) has issued its [Calendar Year (CY) 2026 Medicare Physician Fee Schedule (PFS) Proposed Rule](https://www.federalregister.gov/public-inspection/2025-13271/medicare-and-medicaid-programs-calendar-year-2026-payment-policies-under-the-physician-fee-schedule), which includes proposed policies for the Quality Payment Program (QPP).

The Notice of Proposed Rulemaking (NPRM) includes proposals for the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs), as well as several Requests for Information (RFIs).

Specifically, we’re proposing policies that:

- Continue the transformation of MIPS through MIPS Value Pathways (MVPs).
- Are responsive to feedback and concerns raised by interested parties.
- Maintain stability within the MIPS program through the established performance threshold.

# 2026 Policy Proposal Highlights

Key QPP policies that we are proposing in the CY 2026 PFS Proposed Rule include:

- Introducing 6 new MVPs for the 2026 performance year that are related to diagnostic radiology, interventional radiology, neuropsychology, pathology, podiatry, and vascular surgery.
- Introducing a 2-year informational-only feedback period for new cost measures, allowing clinicians to receive feedback on their score(s) and find opportunities to improve performance before a new cost measure affects their MIPS final score.
- Maintaining the current performance threshold policies, leaving the performance threshold set at 75 points through the 2028 performance year.
- Introducing Qualifying APM Participant (QP) determinations at the individual level, in addition to existing determinations at the APM entity level.

# Overview of RFIs

We are also seeking feedback on RFIs about the following topics:

- Establishing Core Elements for MVPs, to require reporting on key quality measures within each MVP.
- Establishing a process to assign clinicians to an MVP, to facilitate the most relevant reporting for their scope of care.
- Transitioning to FHIR-based electronic clinical quality measure (eCQM) reporting in quality reporting programs.
- Understanding the current environment, including challenges, with collecting and exchanging high-quality healthcare data.
- Changing requirements for the Query of Prescription Drug Monitoring Program (PDMP) Measure and Performance-Based Measures in the Public Health and Clinical Data Exchange Objective.

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/qpp-newsletter-updates)

## [2025: CMS Suspends Eight Improvement Activities for MIPS](https://go.northwestahec.wakehealth.edu/practicesupport/2025-cms-suspends-eight-improvement-activities-for-mips)

 May 20, 2025, 7:45:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [MIPS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/mips), [quality payment program](https://go.northwestahec.wakehealth.edu/practicesupport/topic/quality-payment-program), [CMS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/cms)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/2025-cms-suspends-eight-improvement-activities-for-mips#comments-listing)

![top view of Medicine doctor hand working with modern computer and smart phone on wooden desk as medical concept-May-19-2025-01-01-40-2119-PM](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/top%20view%20of%20Medicine%20doctor%20hand%20working%20with%20modern%20computer%20and%20smart%20phone%20on%20wooden%20desk%20as%20medical%20concept-May-19-2025-01-01-40-2119-PM.jpeg?width=300&height=200&name=top%20view%20of%20Medicine%20doctor%20hand%20working%20with%20modern%20computer%20and%20smart%20phone%20on%20wooden%20desk%20as%20medical%20concept-May-19-2025-01-01-40-2119-PM.jpeg)

The Center for Medicare and Medicaid Services (CMS) has announced it is suspending eight improvement activities for the 2025 performance year.

 

The suspension is in accordance with the Merit-based Incentive Payment System (MIPS) Improvement Activities Suspension Policy finalized in the CY2021 Physician Fee Schedule final rule.  CMS intends to propose removing these improvement activities in future rulemaking.

MIPS Improvement Activities Suspended for PY 2025

| Activity ID | Activity Name |
| --- | --- |
| IA\_AHE\_5 | MIPS Eligible Clinician Leadership in Clinical Trials or CPBR |
| IA\_AHE\_8 | Create and Implement an Anti-Racism Plan |
| IA\_AHE\_9 | Implement Food Insecurity and Nutrition Risk Identification and Treatment Protocols |
| IA\_AHE\_11 | Create and Implement a Plan to Improve Care for Lesbian, Gay, Bisexual, Transgender, and Queer Patients |
| IA\_AHE\_12 | Practice Improvements that Engage Community Resources to Address Drivers of Health |
| IA\_PM\_6 | Use of Toolsets or Other Resources to Close Health and Health Care Inequities Across Communities (Use of toolset or other resources to close healthcare disparities across communities) |
| IA\_ERP\_3 | COVID-19 Clinical Data Reporting with or without Clinical Trial |
| IA\_PM\_26 | Vaccine Achievement for Practice Staff: COVID-19, Influenza, and Hepatitis B |

CMS says that clinicians should select other improvement activities to complete.  However, if any of the suspended improvement activities have already been completed or were in the process of being completed, clinicians will still be able to attest to completing them and receive credit.  Please review the [2025 Improvement Activities Inventory](https://qpp-cm-prod-content.s3.amazonaws.com/uploads/3158/Links-to-2025-MIPS-Measure-Specs-Activity-Inventory-and-Supporting-Documentation.pdf) for available improvement activities.

Visit the [QPP website](https://qpp.cms.gov/) for more information.

*Source: [Improvement Activities Suspension Announcement](https://go.northwestahec.wakehealth.edu/hubfs/Improvement%20Activities%20Suspension%20Announcement%202025%20(1).pdf), Small Practices Newsletter, 2025*

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/2025-cms-suspends-eight-improvement-activities-for-mips)

## [Now Available: 2023 MIPS Performance Feedback, 2023 MIPS Final Score, and 2025 MIPS Payment Adjustment Information](https://go.northwestahec.wakehealth.edu/practicesupport/now-available-2023-mips-performance-feedback-2023-mips-final-score-and-2025-mips-payment-adjustment-information)

 Aug 14, 2024, 7:03:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [MIPS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/mips), [quality payment program](https://go.northwestahec.wakehealth.edu/practicesupport/topic/quality-payment-program), [practice management](https://go.northwestahec.wakehealth.edu/practicesupport/topic/practice-management), [CMS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/cms)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/now-available-2023-mips-performance-feedback-2023-mips-final-score-and-2025-mips-payment-adjustment-information#comments-listing)

![fire azalea.gg](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/fire%20azalea.gg.jpg?width=300&height=228&name=fire%20azalea.gg.jpg)

The Centers for Medicare & Medicare Services (CMS) has released Merit-based Incentive Payment System (MIPS) performance feedback and final scores for the 2023 performance year and associated MIPS payment adjustment information for the 2025 payment year.

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/now-available-2023-mips-performance-feedback-2023-mips-final-score-and-2025-mips-payment-adjustment-information)

## [Small Practices Participating in MIPS: Are You On Track?](https://go.northwestahec.wakehealth.edu/practicesupport/small-practices-participating-in-mips-are-you-on-track)

 Jul 16, 2024, 11:35:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [MIPS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/mips), [medicare](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicare), [quality payment program](https://go.northwestahec.wakehealth.edu/practicesupport/topic/quality-payment-program), [practice management](https://go.northwestahec.wakehealth.edu/practicesupport/topic/practice-management)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/small-practices-participating-in-mips-are-you-on-track#comments-listing)

![MIPS](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Practice%20Support%20Files/MIPS.jpg?width=300&height=244&name=MIPS.jpg)

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 sent on the 2nd Tuesday of each month.

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/small-practices-participating-in-mips-are-you-on-track)

## [MIPS Value Pathways (MVPs) Registration Window Open](https://go.northwestahec.wakehealth.edu/practicesupport/mips-value-pathways-mvps-registration-window-open)

 Oct 25, 2023, 11:30:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [MIPS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/mips), [medicare](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicare), [quality payment program](https://go.northwestahec.wakehealth.edu/practicesupport/topic/quality-payment-program), [practice management](https://go.northwestahec.wakehealth.edu/practicesupport/topic/practice-management)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/mips-value-pathways-mvps-registration-window-open#comments-listing)

The Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) registration window is open for the 2023 performance year.  Individuals, groups, subgroups, and Alternative Payment Model (APM) Entities that wish to report an MCP can register until November 30, 2023 at 8 p.m. ET.  

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/mips-value-pathways-mvps-registration-window-open)

## [MIPS Final Score Preview Period is Now Open](https://go.northwestahec.wakehealth.edu/practicesupport/mips-final-score-preview-period-is-now-open)

 Jul 11, 2023, 5:30:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [MIPS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/mips), [quality payment program](https://go.northwestahec.wakehealth.edu/practicesupport/topic/quality-payment-program)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/mips-final-score-preview-period-is-now-open#comments-listing)

The MIPS Final Score Preview period for the 2022 performance year is now open. Small practices are strongly encouraged to sign in to the [Quality Payment Program website](https://qpp.cms.gov/login?utm_source=newsletter&utm_medium=email&utm_id=newsletter_july2023&utm_content=qpplogin)to preview their final score based on data submitted for the 2022 performance year.

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/mips-final-score-preview-period-is-now-open)

## [QPP Pearls from CMS](https://go.northwestahec.wakehealth.edu/practicesupport/from-the-quality-payment-program-small-practices-newsletter)

 Mar 22, 2023, 7:45:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [medicare](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicare), [quality payment program](https://go.northwestahec.wakehealth.edu/practicesupport/topic/quality-payment-program)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/from-the-quality-payment-program-small-practices-newsletter#comments-listing)

We encourage you to [subscribe](https://www.cms.gov/) to the Quality Payment Program Small Practices Newsletter. It is a valuable resource from CMS to help your practice be successful in the Quality Payment Program. This week we bring you selected resources:

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/from-the-quality-payment-program-small-practices-newsletter)

## [Will your electronic health record meet requirements for MIPS in 2023?](https://go.northwestahec.wakehealth.edu/practicesupport/will-your-electronic-health-record-meet-requirements-for-mips-in-2023)

 Dec 21, 2022, 1:59:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [MIPS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/mips), [EHR](https://go.northwestahec.wakehealth.edu/practicesupport/topic/ehr), [quality payment program](https://go.northwestahec.wakehealth.edu/practicesupport/topic/quality-payment-program)

[0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/will-your-electronic-health-record-meet-requirements-for-mips-in-2023#comments-listing)

# *Today we share a recent newsletter from CMS (Center for Medicare and Medicaid Services):*

 

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/will-your-electronic-health-record-meet-requirements-for-mips-in-2023)

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### Practice Support Services

Health care practices in North Carolina face many challenges. Our team of quality improvement coaches (QICs) have skills and expertise to support you in your transformation efforts.

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- [food (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/food)
- [glidepath (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/glidepath)
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- [psychology (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/psychology)
- [seniors (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/seniors)
- [sexually transmitted infections (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/sexually-transmitted-infections)
- [social justice (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-justice)
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- [women's health (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/womens-health)
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- [#syphilis (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/syphilis)
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- [equity (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/equity)
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- [therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/therapy)
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# About Us

The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina.

[Learn More](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC)

# Links

- [Course Catalog](http://nwahec.org/)
- [Join Our Email List](https://share.hsforms.com/16F72ZaBBRBqAda7M--9l9w4ewk6)
- [About Northwest AHEC](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec)
- [Continuing Education Services](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec/continuing-professional-development)
- [Contact Support](https://go.northwestahec.wakehealth.edu/support)

# Contact Us

[ahecmktg@wakehealth.edu](mailto:ahecmktg@wakehealth.edu)

 Medical Center Boulevard  
 Winston-Salem, North Carolina

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