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

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

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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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