Don’t Forfeit Your APM Incentive Payment; Act Now
By Amy Lynn Sorrel

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

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Amy Lynn Sorrel

Associate Vice President, Editorial Strategy & Programming
Division of Communications and Marketing

(512) 370-1384
Amy Sorrel

Amy Lynn Sorrel has covered health care policy for nearly 20 years. She got her start in Chicago after earning her master’s degree in journalism from Northwestern University and went on to cover health care as an award-winning writer for the American Medical Association, and as an associate editor and managing editor at TMA. Amy is also passionate about health in general as a cancer survivor, avid athlete, traveler, and cook. She grew up in California and now lives in Austin with her Aggie husband and daughter.

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