What to do if you have not received a 2023 APM incentive payment

The Centers for Medicare & Medicaid Services (CMS) has begun dispensing incentive bonuses through its 2023 Alternative Payment Model (APM). If you have not received your payment, you may have to verify your Medicare billing information.

To access information on APM incentive payments, log in to the Quality Payment Program (QPP) website using HARP credentials. Eligible clinicians who were qualifying APM participants based on their 2021 performance should have begun receiving 5% incentive payments earlier this summer. You can view the payment amount and the person or organization paid based on 10-digit National Provider Identifier (NPI) and organization name. You will not need to do anything to receive your payment unless CMS is unable to verify your Medicare billing information.

If you have not begun to receive your payment, check for your name in the 2023 QP Notice for APM Incentive Payment zip file on the QPP Resource Library, which indicates you need to verify your Medicare billing information. (For instructions on how to verify your billing information, review the aforementioned APM Incentive Pay zip file.) If you do not verify your information by Sept. 1, 2023, CMS will not be able to issue your APM incentive payment, and you will forfeit it this year.

CMS also recently published the first qualifying participant (QP) and APM snapshot for the 2023 performance year, based on claims with dates of service between Jan. 1 and March 31. To view your QP and APM status for this year, visit the QPP Participation Status Tool and enter your 10-digit NPI. For more information on APMs, visit the QPP APM Overview webpage.

Review the 2023 Learning Resources for QP Status and APM Incentive Payment zip file for more details. For questions and concerns, contact the QPP Help Desk at 1-866-288-8292 or QPP@CMS.hhs.gov.

— Kent Moore, AAFP Senior Manager, Payment Strategies, and Erin Solis, Manager, Practice and Payment

Posted on July 14, 2023