Updated APM Incentive Payment QP Public Notice File Available

The Centers for Medicare & Medicaid Services (CMS) recently updated the Quality Payment Program website to include 2020 Alternative Payment Model (APM) Incentive Payment details. To access this information, clinicians and surrogates can log in to the QPP website using their HARP credentials.

Eligible clinicians who were Qualifying APM Participants (QPs) based on their 2018 performance began receiving their 2020 5% APM Incentive Payments this month. 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

APM Incentive Payment Details Available on QPP Website

CMS has taken time to ensure correct payments and information are available during the 2020 payment year. CMS’s process includes verifying eligible clinicians’ Advanced APM participation and the calculation of the APM Incentive Payment.

You can log in to the QPP website to see the amount and the organization paid for both the 10-digit National Provider Identifier (NPI) and the organization.

What Do I Need to Do in Order to Receive the APM Incentive Payment?

You do not need to do anything unless you have not yet received your payment and find your name on this public notice, which indicates that you will need to verify your Medicare billing information.

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

For more information, review the updated 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.

Attend Wave 3 Measure-Specific Workgroup Post-Field Test Refinement (PFTR) Webinars

CMS has contracted with Acumen, LLC to develop episode-based cost measures for their potential use in the Cost performance category of the Merit-based Incentive Payment System (MIPS). As part of Wave 3 of measure development, Acumen, LLC is hosting workgroup webinars in October 2020 that will be open to the public with a listen-only option. Stakeholders and members of the public are invited to listen in on the considerations and discussions that inform cost measure development. Please feel free to share this message with anyone you believe may be interested.

Acumen, LLC will convene the expert workgroups via webinar to provide additional input to inform further refinements to the measure specifications, based upon their review and discussion of stakeholder feedback and updated testing results following a national field test held from August 17 to September 18, 2020.

The times and dates for the workgroup Post-Field Test Refinement (PFTR) webinars are listed below. To register, please click on the webinar(s) you are interested in attending:

Information about the measure development process, the recent field test, and development activities undertaken in previous years can be found on the MACRA Feedback Page. Summaries of the previous Wave 3 Clinical Subcommittee and Workgroup meetings are also available for download on the page.

Need Help?

If you have any questions about measure development, the Wave 3 Clinical Subcommittees and workgroups, or the workgroup meetings, please contact Acumen at macra-clinical-committee-support@acumenllc.com.
If you have questions about MIPS, the Cost performance category or cost measures currently in use in MIPS, contact the Quality Payment Program at 1-866-288-8292 or by e-mail at: QPP@cms.hhs.gov. To receive assistance more quickly, please consider calling during non-peak hours—before 10 a.m. and after 2 p.m. Eastern Time.
- Customers who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.
Connect with your local technical assistance organization. We provide no-cost technical assistance to small, underserved, and rural practices to help you successfully participate in the Quality Payment Program.