Wondering where your 5% payment incentive is for participating in an advanced alternative payment model (APM) in the 2020 Quality Payment Program?
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 Aug. 10, CMS published a payment advisory that links to a list of physicians and other unpaid clinicians who did not receive their 5% APM incentive because of inaccurate billing information. The Texas Medical Association reviewed this list and identified 192 Texas physicians.
To avoid forfeiting that payment, you must update your Medicare billing information with the agency no later than Nov. 1.
If you have not begun to receive your payment, here’s what you should do:
- Download this 2022 QP Notice for APM Incentive Payment Zip File, which can also be found in the QPP Resource Library.
- Check for your name and/or National Provider Identifier (NPI) in the QP Public Notice File for Payment Year 2022 (Excel file) included in the zip file.
- If you find your name, fill out the 2022 Incentive Payment Billing Information Collection Form (PDF) included 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 Nov. 1. CMS says that “payment processing occurs one time after all forms have been received.”
For questions about your submission, call the QPP Help Desk at (866) 288-8292.
Need help with specific insurance payments? TMA physician members and their practice staff can get assistance via TMA’s Reimbursement Review and Resolution Service portal.
Last Updated On
August 23, 2022
Originally Published On
August 23, 2022
Amy Lynn Sorrel
Associate Vice President, Editorial Strategy & Programming
Division of Communications and Marketing
(512) 370-1384