CMS updates tool to check eligibility for alternative payment model program

CMS has updated its tool that identifies eligible clinicians who qualify for alternative payment model participation for Medicare Access and CHIP Reauthorization Act's Quality Payment Program, according to the American Hospital Association.

The quality payment program has two pathways for eligible clinician participation: the Merit-based Incentive Payment System, or MIPS, and the Advanced Alternative Payment Model, or Advanced APM.

A fact sheet issued by CMS Oct. 15 lays out the process and methodology that the federal government will use to identify eligible clinicians who are qualifying APM participants for the 2019 performance period. CMS said these clinicians will be eligible to receive the 5 percent APM incentive payment in 2021, two years after the performance period.

According to the American Hospital Association, clinicians eligible to receive the 5 percent APM incentive payment are exempt from participating in MIPs.

Read more about CMS' alternative payment model tool here.


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