Extended Deadline: Certain Clinicians Need to Update Their Billing Information by December 13 to Receive Their APM Incentive Payment

The Centers for Medicare & Medicaid Services (CMS) Quality Payment Program website includes 2020 Alternative Payment Model (APM) Incentive Payment details. To access information on the incentive amount and organization paid, clinicians and surrogates can log in to the QPP website using their HARP credentials. In order to receive payments, certain clinicians will need to verify their Medicare billing information by December 13, 2020.

Many eligible clinicians who were Qualifying APM Participants (QPs) based on their 2018 performance began receiving their 2020 5% APM Incentive Payments last month. If you have already received your payment, you do not need to do anything.

CMS also posted a new 2020 APM Incentive Payment Fact Sheet to explain:

  • Who is eligible to receive an APM incentive payment in 2020
  • How CMS determines your 2020 APM Incentive Payment
  • Frequently asked questions and answers

Who Needs to Verify Their Medicare Billing Information?

If you have not received a payment and find your name on this public notice, you will need to verify your Medicare billing information.

NOTE: If you do not verify your Medicare billing information by December 13, 2020, CMS will not be able to issue your APM Incentive Payment.

For more information, review the QP Public Notice File for Payment Year 2020 Excel Spreadsheet and supporting forms in the 2020 QP Notice for APM Incentive Payment zip file. The spreadsheet will indicate which form you need to submit—the IP Form and/or 588 Form—in order to verify your Medicare billing information.

Questions?

Contact the Quality Payment Program at QPP@cms.hhs.gov or 1-866-288-8292. To receive assistance more quickly, consider calling during non-peak hours—before 10 a.m. and after 2 p.m. ET.

Customers who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.

About Author

Healthcentric Advisors
As the New England Quality Payment Program Support Center, Healthcentric Advisors assists New England-based physician and other eligible clinical practices to prepare for and participate in the new Quality Payment Program (QPP), established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).