RevCycle Intelligence September 20, 2019
More than 90,000 clinicians are still waiting on the 2019 Advanced Alternative Payment Model (APM) bonus payment for their participation in 2017 and nine industry groups are demanding payment from CMS.
Advanced APMs are part of the Quality Payment Program, a value-based reimbursement system created under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The models require clinicians to take on downside financial risk in exchange for more favorable positive payment adjustments compared to the Quality Payment Program’s other track – the Merit-Based Incentive Payment System (MIPS).
In 2017, CMS promised to pay out a five percent bonus in the 2019 payment year to clinicians participating in one of the approved models. Clinicians, however, have yet to hear...
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