• Check your QPP participation status with updated CMS tool

    The Centers for Medicare & Medicaid Services (CMS) updated its Quality Payment Program Participation Status Tool on July 20, based on data from Medicare Part-B claims with dates of service between Jan. 1 and March 31. The tool includes 2020 Alternative Payment Model (APM) Qualifying Participant (QP) and Merit-based Incentive Payment System (MIPS) participation status. If you qualify as a QP, you are:

    • Eligible for the 5% APM incentive bonus,
    • Exempt from participating in MIPS.

    To learn more about how CMS determines QP and APM participation status, visit the Advanced APMs webpage on the QPP website.

    To view your QP or APM participation status at the individual level:

    To check your 2020 eligibility at the APM entity level:

    • Log into the CMS QPP website (learn how by downloading the QPP Access User Guide),
    • Find the Taxpayer Identification Number(s) affiliated with your entity,
    • Access the “details” screen to view the eligibility status of every clinician based on their NPI.

    For more information on APMs, visit the QPP APMs webpage. For a comprehensive list of APMs and additional materials, visit the QPP Resource Library.

    If you have questions, contact the Quality Payment Program at 1-866-288-8292 or QPP@cms.hhs.gov. To receive assistance more quickly, CMS advises you to call during non-peak hours — before 10:00 a.m. and after 2:00 p.m. ET.

    — Kent Moore, Senior Strategist for Physician Payment at the American Academy of Family Physicians

    Posted on Jul 22, 2020 by Kent Moore

    Disclaimer: The opinions and views expressed here are those of the authors and do not necessarily represent or reflect the opinions and views of the American Academy of Family Physicians. This blog is not intended to provide medical, financial, or legal advice. Some payers may not agree with the advice given. This is not a substitute for current CPT and ICD-9 manuals and payer policies. All comments are moderated and will be removed if they violate our Terms of Use.