tci Medicare Compliance & Reimbursement - 2017 Issue 21
Industry Notes: Register Now for 2018 Virtual Groups Before the Dec. 1 Deadline
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Article Overview
This article explains a CMS update about the Virtual Group option within the Quality Payment Program for the 2018 performance period. It is relevant to small and solo practices, MACRA/MIPS participants, and coding and compliance teams tracking payment program participation requirements, deadlines, and related guidance.
Why This Topic Matters
It helps practices understand that CMS is offering a group-based participation path under QPP for smaller provider groups and that an application deadline applies for the 2018 period. The update is useful for organizations monitoring Medicare payment program changes and administrative requirements.
Article Sections
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Overview of CMS Virtual Groups under QPP
Introduces the CMS proposal and context for the Virtual Group option within the Quality Payment Program. Summarizes the target practice types and the general purpose of the program change.
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Proposed participation and group structure
Describes the size of practices that may participate and the general concept of submitting measures together as a larger group. Also notes the broad reporting and scoring framework discussed in the update.
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Program effects and administrative deadline
Covers the practical implications for participating practices and the timing of the application window. Includes the referenced 2018 performance period and the deadline mentioned in the article.
What You Will Learn
- The general purpose of CMS Virtual Groups within the Quality Payment Program
- Which types of practices the update is aimed at
- The broad administrative timing associated with the 2018 application window
- How the article frames the relationship between Virtual Groups and QPP participation
Who Should Read This
- Medical coders
- Practice managers
- Compliance staff
- Small and solo physician practices
- MIPS participants
- Healthcare administrators
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