E/M Coding Alert - 2020 Issue 18
Industry Notes: 2020 QPP Payment Year Data Is Now Available for APMs
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Article Overview
This industry note covers a CMS announcement about updated Quality Payment Program information for Alternative Payment Models, including access to payment-year data, timing of incentive payments, and a new fact sheet with general payment-process details. It is relevant to clinicians, participating practices, and coding or reimbursement professionals who track CMS program updates and administrative requirements tied to Medicare billing information.
Why This Topic Matters
It helps readers understand where CMS is posting payment-year information, what general administrative steps may be needed to receive an APM incentive payment, and where to look for official guidance and notices.
Article Sections
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CMS Update to the QPP Website
Overview of the CMS website update and the performance-year and payment-year data made available for APM participants.
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Payment Access and Timing
General information about when qualifying participants can access payment information and the expected timing of incentive payments.
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Fact Sheet and FAQ Information
A summary of the added CMS fact sheet covering the payment process and related questions and answers.
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Billing Information Verification and Notice
Discussion of CMS guidance for individuals who do not receive a payment and the need to verify Medicare billing information through the official notice process.
What You Will Learn
- How CMS is updating Quality Payment Program information for APM participants
- What general payment-related information CMS has made available
- Where CMS directs readers for fact sheets and official notices
- What administrative follow-up may be needed when payment information does not match expectations
Who Should Read This
- Clinicians participating in APMs
- Medicare reimbursement staff
- Practice managers
- Coding and compliance professionals
- Health policy and payment program stakeholders
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