The Centers for Medicare & Medicaid Services (CMS) has posted the Advanced Alternative Payment Model (APM) Incentive Payments for 2023 on the Quality Payment Program (QPP) Resource Library. This resource provides information about the Advanced APM incentive payments paid to eligible clinicians this year based on their participation in Qualifying APM Participant (QP) Performance Period 2021. Additional information about APM Incentive Payments is available on the Federal Register.

Access APM Incentive Payment Details

CMS has taken time to ensure correct payment and information are available during the 2023 payment year. CMS' process includes verifying eligible clinicians' Advanced APM participation and calculating the APM Incentive Payment. You can now log in to the QPP website using your HARP credentials to see the amount your organization was paid for the 10-digit National Provider Identifier (NPI) and the organization.

If you have not received your payment, you should check for your name on the 2023 QP Notice for APM Incentive Payment ZIP File, which indicates that you will need to verify your Medicare billing information. If you do not verify your Medicare billing information by September 1, 2023, then CMS cannot issue your APM Incentive Payment. For instructions on verifying your Medicare billing information, review the Zip File and Federal Register notice.

What Do I Need to Do to Receive the APM Incentive Payment?

You will not need to do anything to receive your payment unless CMS cannot verify your Medicare billing information.

2022 MIPS Performance Feedback, 2022 MIPS Final Score, and 2024 MIPS Payment Adjustment Information

The Centers for Medicare & Medicare Services (CMS) has released Merit-based Incentive Payment System (MIPS) performance feedback and final scores for the 2022 performance year and associated MIPS payment adjustment information for the 2024 payment year.

You can view your 2022 MIPS performance feedback, including your final score and 2024 payment adjustment, on the Quality Payment Program (QPP) website. 

• Sign in using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) system credentials; these are the same credentials that allowed you to submit your 2022 MIPS data.
• Click “View Feedback” on the home page.
• Select your organization (Practice, Alternative Payment Model [APM] Entity, Virtual Group). Practice representatives can access both individual and group feedback.

If you don’t have a HARP account or QPP role, please refer to the Register for a HARP Account and Connect to an Organization (re: QPP role) documents in the QPP Access User Guide and start the process now.

Performance Feedback Resources Available

To learn more about the information in your performance feedback, review the following:  

• 2022 MIPS Performance Feedback FAQs—Highlights what performance feedback is, who receives the feedback, and how to access it on the QPP website.
• 2022 MIPS Performance Feedback Patient-Level Data Reports Supplement—Reviews the data included, and answers questions about the downloadable patient-level reports included in performance feedback.
• 2022 Quality Performance Period Benchmarks—Identifies the performance period benchmark results (as available) for quality measures without a historical benchmark and provides general information about performance period benchmarks.
• 2022 Cost Performance Period Benchmarks—Identifies the performance period benchmark results (as available) for cost measures.
• 2024 MIPS Payment Year Payment Adjustment User Guide—Reviews information about the calculation and application of MIPS payment adjustments, and answers frequently asked questions.

Reminder for MIPS Eligible Clinicians Participating in MIPS through their APM Entity

Individual clinicians and representatives of APM Entities are also able to access performance feedback directly on the QPP website using their HARP account.

Note: Performance feedback isn’t related to model-specific requirements outside of the QPP.

Note for Medicare Shared Savings Program Accountable Care Organizations (ACOs)

Medicare Shared Savings Program ACOs are encouraged to identify at least one individual within your ACO who can obtain a HARP account with the security official role; additional individuals may request the staff user role. ACO individuals can create and manage their HARP account and QPP access in the ACO Management System (ACO-MS).

Contact your ACO to find out how you can obtain a HARP account via ACO-MS. If you have any questions, please contact the ACO Information Center at SharedSavingsProgram@cms.hhs.gov or 1-888-734-6433 (Option 1).

Representatives of Shared Savings Program ACO Participant Taxpayer Identification Numbers (TINs) and practices with clinicians receiving their APM Entity’s final score won’t be able to access the APM Entity’s performance feedback unless they’ve been approved as a staff user for the APM Entity.

COVID-19 Flexibilities

CMS continued to allow individuals, groups, virtual groups, and APM Entities to request performance category reweighting through the MIPS Extreme and Uncontrollable Circumstance (EUC) Exception Application. Data submission wasn’t required for the performance categories approved for reweighting.