Wondering where your 5% incentive payment is for participating in an advanced alternative payment model (APM) in the 2021 Quality Payment Program (QPP)?
It could be that the Centers for Medicare & Medicaid Services (CMS) cannot send it to you unless you take immediate action to update your billing information.
On July 31, CMS published a payment advisory that links to a list of physicians and other clinicians who did not receive their 5% APM incentive payment because of inaccurate billing information.
To avoid forfeiting that payment, you must update your Medicare billing information with CMS no later than Sept. 1.
If you have not begun to receive your payment, you should:
- Download the 2023 Qualifying Physician Notice for APM Incentive Payment zip file, which also can be found in the QPP Resource Library.
- Check for your name or National Provider Identifier in the Qualifying Physician Public Notice File for Payment Year 2023 Excel spreadsheet included in the zip file.
- If you find your name, fill out the 2023 Incentive Payment Billing Information Collection Form PDF document including in the zip file and email it to the QPP Help Desk. Instructions are included in the form.
Remember, you must submit the form by Sept. 1. CMS says it will process “[a]ll submissions received by [Sept.1] … together on one date as soon as practicable.”
For questions about your submission, call the QPP Help Desk at (866) 288-8292.
Need help with specific insurance payments? TMA member physicians and their practice can get assistance via TMA’s Reimbursement, Review, and Resolution Service.
Last Updated On
August 14, 2023
Originally Published On
August 23, 2022
Amy Lynn Sorrel
Associate Vice President, Editorial Strategy & Programming
Division of Communications and Marketing
(512) 370-1384