Providers have just a couple more days to challenge Medicare’s proposed 2018 value modifier payment adjustments. On September 18, 2017, Medicare released quality reports and measures used to calculate quality-based payment adjustments affecting providers’ 2018 Medicare fees. Physicians, physicians assistants, nurse practitioners, clinical nurse specialists, and nurse anesthetists who believe such proposed payment adjustments are in error have until 8 p.m. Eastern Time on December 1, 2017 to request an informal review. Providers may request a review by logging in to the CMS Enterprise Secure Portal and selecting the option for Value Modifier Informal Review.