22k physicians nationwide have not received their 5% APM incentive payments

October 06, 2020

The Medicare Access and CHIP Reauthorization Act provides annual incentive payments equal to 5% of the physician's Medicare claims for physicians who participate in Advanced Alternative Payment Models (APMs). The payments are made two years after the physician participates in the APM, so physicians who qualified as APM participants in 2018 are due to receive their 5% incentive payments this year.

This month, the Centers for Medicare and Medicaid Services (CMS) distributed APM incentive payments to qualified participants from 2018. However, the agency said there are many physicians it has been unable to locate in order to issue the incentive payments. CMS has published a list of physicians it has been unable to locate.

Physicians who participated in a Medicare Advanced APM during 2018 who believe they qualified for the 5% incentive payment but did not receive it must provide their missing billing information to CMS no later than Nov. 10, 2020.


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