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When will CMS notify physician practices of their APM status?

Washington Connection

Medicare Payment Policies

When will CMS notify physician practices of their APM status?


In order to qualify for advanced APM benefits such as the five percent incentive payment, clinicians must become qualifying participants (QPs) through the APM. CMS makes QP determinations at three "snapshot" dates during a given performance period, based on claims data: March 31, June 30, and Aug. 31, using a 60-day claims run-out for each of these calculations. The agency estimates it will determine QP status about three months following each snapshot date. Assuming CMS is accurate, this sets the first QP determination date around late June/early July.

QP status can be checked on qpp.cms.gov later this year.
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