August 16, 2018

Radiologists Can Use CMS Tool to Check APM Bonus Status

Radiologists and other providers can now check the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP) Participation Status tool to see if they are eligible to receive a 5 percent bonus in 2020.

CMS recently updated its Quality Payment Program (QPP) Participation Status tool to include 2018 Qualifying Alternative Payment Model Participant (QP) and Merit-based Incentive Payment System (MIPS) APM Status.

Updates are based on calculations from the first snapshot of data from APM entities and are derived from Medicare Part B claims with dates of service between January 1 and March 31, 2018.

CMS will release the second and third Qualifying APM Participant and MIPS APM status data later this year. That data will be based on snapshots of claims between January 1 and August 31, 2018.

ACR members working with APMs should check their Enterprise Identity Management (EIDM) accounts to determine if they have been awarded QP status.

If so, your 2018 billings will automatically receive a 5 percent bonus in 2020. If QP status is not achieved, then CMS will evaluate you at some level of MIPS reporting.

For further details regarding the methodology CMS uses to identify eligible clinicians please see the QP Methodology Fact Sheet or the QPP Participation Status Tool.