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Centers for Medicare & Medicaid Services Quality Payment Program
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* APM Incentive Payments for 2024 Now Available; Learn if Action Needed [ #link_1 ]
* New Resource: Introduction to Advanced Alternative Payment Models (APMs) Video [ #link_2 ]
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APM Incentive Payments for 2024 Now Available; Learn if Action Needed
The Centers for Medicare & Medicaid Services (CMS) recently posted details about the 2024 Advanced Alternative Payment Model (APM) Incentive Payments within the 2024 Learning Resources for QP Status and APM Incentive Payments Zip File (ZIP, 599KB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2925/2024-Learning-Resources-for-QP-Status-and-APM-Incentive-Payment.zip ] on the Quality Payment Program (QPP) Resource Library [ https://qpp.cms.gov/resources/resource-library ]. This resource provides information about the amount of Advanced APM incentive payments that were paid to eligible clinicians this year based on their participation in Qualifying APM Participant (QP) Performance Period 2022. Additional information about APM Incentive Payments is available on the Federal Register in the “Alternative Payment Model (APM) Incentive Payment Advisory for Clinicians – Request for Current Billing Information for Qualifying APM Participants [ https://www.federalregister.gov/documents/2024/07/17/2024-15644/medicare-program-alternative-payment-model-apm-incentive-payment-advisory-for-clinicians-request-for ].”
*Access APM Incentive Payment Details*
CMS has taken time to ensure correct payment and information are available during the 2024 payment year. CMS's process includes verifying eligible clinicians' Advanced APM participation and the calculation of the APM Incentive Payment. You can now log in to the QPP website [ https://qpp.cms.gov/login ] using your HARP credentials to see the amount your organization was paid for both the 10-digit National Provider Identifier (NPI) and the organization.
If you have not received your payment, you should check for your name on the 2024 QP Notice for APM Incentive Payment ZIP File (ZIP, 599KB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2924/2024-QP-Notice-for-APM-Incentive-Payment.zip ], which indicates that you will need to verify your Medicare billing information. If you do not verify your Medicare billing information by September 1, 2024, then CMS will not be able to issue your APM Incentive Payment. For instructions on how to verify your Medicare billing information, review the Zip File (ZIP, 599KB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2925/2024-Learning-Resources-for-QP-Status-and-APM-Incentive-Payment.zip ] and Federal Register notice. [ https://www.federalregister.gov/documents/2024/07/17/2024-15644/medicare-program-alternative-payment-model-apm-incentive-payment-advisory-for-clinicians-request-for ]
*What Do I Need to Do in Order to Receive the APM Incentive Payment?*
You will not need to do anything to receive your payment, unless CMS is unable to verify your Medicare billing information.
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New Resource: Introduction to Advanced Alternative Payment Models (APMs) Video
The Centers for Medicare & Medicaid Services (CMS) recently posted a new Introduction to Advanced Alternative Payment Models (APMs) video [ https://www.youtube.com/watch?v=nR3Snl4gT5c ], which provides an overview of Advanced APMs, one of the two tracks of the Quality Payment Program [ https://qpp.cms.gov/ ].
In the video, you will learn:
* The two ways to participate in the Quality Payment Program, including through the Merit-based Incentive Payment System (MIPS) [ https://qpp.cms.gov/mips/traditional-mips ] and Advanced APMs [ https://qpp.cms.gov/apms/advanced-apms ]
* The definition of APMs [ https://qpp.cms.gov/apms/overview ] and Advanced APMs [ https://qpp.cms.gov/apms/advanced-apms ]
* How eligible clinicians can become a Qualifying APM Participant (QP) or Partial QP by meeting certain thresholds while participating in an Advanced APM
* Benefits for QPs and Partial QPs
We encourage you to watch the video [ https://www.youtube.com/watch?v=nR3Snl4gT5c ] and view other MIPS and APMs resources available on the Quality Payment Program website [ https://qpp.cms.gov/ ] and in the Resource Library [ https://qpp.cms.gov/resources/resource-library ].
QPP Footer 2023 [ https://qpp.cms.gov/resources/help-and-support ]
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