Medicare Compliance & Reimbursement

Tip: Have your HARP credentials handy to log in.

The Centers for Medicare & Medicaid Services (CMS) updated the Quality Payment Program (QPP) website with performance year 2018/payment year 2020 incentive data for Alternative Payment Models (APMs).

As of Sept. 17, Qualifying APM Participants (QPs) can access their 2020 payments, which are based on their 2018 performance data, with their HARP credentials. Clinicians should start receiving their 5 percent APM incentive payments this month, CMS says in an alert.

In addition, CMS has added a new fact sheet on the process with information on how payments are calculated, who will receive them, and other frequently asked questions.

If you don’t receive your payment — but you’re listed in the public notice, you’ll need to contact CMS and verify your Medicare billing, the agency indicates. “If you do not verify your Medicare billing information by November 13, 2020, then CMS will not be able to issue your APM incentive payment,” the notice cautions. 

You can find information on how to verify your Medicare billing in the Federal Register at www.federalregister.gov/documents/2020/09/17/2020-20488/medicare-program-alternative-payment-model-apm-incentive-payment-advisory-for-clinicians-request-for.