Medicare Program; Alternative Payment Model (APM) Incentive Payment Advisory for Clinicians-Request for Current Billing Information for Qualifying APM Participants, 49309 [2023-16140]
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Federal Register / Vol. 88, No. 145 / Monday, July 31, 2023 / Rules and Regulations
holding requirement must be met or
limits any consequence of a failure to
timely meet any such allowance holding
requirement:
(1) After the Administrator has carried
out the procedures set forth in
paragraph (e) of this section, the owner
or operator of a CSAPR NOX Ozone
Season Group 3 source in a State listed
in § 52.38(b)(2)(ii)(D)(1) of this chapter
(and Indian country within the borders
of such a State) may satisfy a
requirement to hold a given number of
CSAPR NOX Ozone Season Group 3
allowances for the control period in
2021 or 2022 by holding instead, in a
general account established for this sole
purpose, an equal amount of CSAPR
NOX Ozone Season Expanded Group 2
allowances for the control period in
2023 (or any later control period for
which the allowance transfer deadline
defined in § 97.802 has passed).
(2) [Reserved]
29. Amend § 97.1034 by:
■ a. In paragraph (d)(2)(i)(C), removing
‘‘June’’ and adding in its place
‘‘September’’;
■ b. In paragraph (d)(3), revising the first
sentence; and
■ c. In paragraph (d)(4), adding a second
sentence.
The revision and addition read as
follows:
■
§ 97.1034
Recordkeeping and reporting.
ddrumheller on DSK120RN23PROD with RULES1
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*
*
*
*
(d) * * *
(3) The designated representative
shall submit each quarterly report to the
Administrator within 30 days after the
end of the calendar quarter covered by
the report, except that quarterly reports
required for the calendar quarter
covering May 1, 2023, through June 30,
2023, shall be submitted by August 4,
2023. * * *
(4) * * * Notwithstanding the
provisions of §§ 75.64(a), 75.73(f)(1),
97.434(d)(2), 97.634(d)(2), and
97.734(d)(2), the deadline for the
designated representative of such a unit
to submit the quarterly reports required
under such additional programs for the
calendar quarter covering May 1, 2023,
through June 30, 2023, shall be August
4, 2023.
*
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*
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*
[FR Doc. 2023–14180 Filed 7–28–23; 8:45 am]
BILLING CODE 6560–50–P
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
42 CFR Part 414
[CMS–5538–N]
Medicare Program; Alternative
Payment Model (APM) Incentive
Payment Advisory for Clinicians—
Request for Current Billing Information
for Qualifying APM Participants
Centers for Medicare &
Medicaid Services (CMS), Health and
Human Services (HHS).
ACTION: Payment advisory.
AGENCY:
This advisory is to alert
certain clinicians who are Qualifying
APM participants (QPs) and eligible to
receive an Alternative Payment Model
(APM) Incentive Payment that CMS
does not have the current billing
information needed to disburse the
payment. This advisory provides
information to these clinicians on how
to update their billing information to
receive this payment.
DATES: Updated billing information
must be received no later than
September 1, 2023 (see SUPPLEMENTARY
INFORMATION for details).
FOR FURTHER INFORMATION CONTACT:
Tanya Dorm, (410) 786–2216.
SUPPLEMENTARY INFORMATION:
SUMMARY:
I. Background
Under the Medicare Quality Payment
Program, an eligible clinician who
participates in an Advanced Alternative
Payment Model (APM) and meets the
applicable payment amount or patient
count thresholds for a performance year
is a Qualifying APM Participant (QP) for
that year. For payment years 2019
through 2024, which corresponds to
Performance Periods for 2017 through
2022, an eligible clinician who is a QP
for a year based on their performance in
a QP Performance Period earns a 5
percent lump sum APM Incentive
Payment that is paid in a payment year
that occurs 2 years after the QP
Performance Period. The amount of the
APM Incentive Payment is equal to 5
percent of the estimated aggregate paid
amounts for covered professional
services furnished by the QP during the
calendar year immediately preceding
the payment year.
49309
Incentive Payment for the calendar year
(CY) 2023 payment year based on their
QP status for the 2021 QP performance
period.
When CMS disbursed the CY 2023
APM Incentive Payments, CMS was
unable to verify current Medicare billing
information for some QPs and was
therefore unable to issue payment. In
order to successfully disburse the APM
Incentive Payment, CMS is requesting
assistance in identifying current
Medicare billing information for these
QPs in accordance with 42 CFR
414.1450(c)(8).
CMS has compiled a list of QPs we
have identified as having unverified
billing information. These QPs, and any
others who anticipated receiving an
APM Incentive Payment but have not,
should follow the instructions to
provide CMS with updated billing
information at the following web
address: https://qpp.cms.gov/resources/
resource-library.
If you have any questions concerning
submission of information through the
website, please contact the Quality
Payment Program Help Desk at 1–866–
288–8292.
All submissions must be received no
later than September 1, 2023. After that
time, any claims to an APM Incentive
Payment for the CY 2023 payment
period based on an eligible clinicians’
QP status for the 2021 QP performance
period will be forfeited.
All submissions received by
September 1, 2023, will be processed
together on one date as soon as
practicable after September 1, 2023.
CMS will not notify the submitter if we
are unable to process the APM Incentive
Payment based on the billing
information submitted for an eligible
clinician.
The Administrator of the Centers for
Medicare & Medicaid Services (CMS),
Chiquita Brooks-LaSure, having
reviewed and approved this document,
authorizes Evell J. Barco Holland, who
is the Federal Register Liaison, to
electronically sign this document for
purposes of publication in the Federal
Register.
Dated: July 25, 2023.
Evell J. Barco Holland,
Federal Register Liaison, Centers for Medicare
& Medicaid Services.
II. Provisions of the Advisory
[FR Doc. 2023–16140 Filed 7–28–23; 8:45 am]
The Centers for Medicare & Medicaid
Services (CMS) has identified those
eligible clinicians who earned an APM
BILLING CODE 4120–01–P
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]]>Agencies
[Federal Register Volume 88, Number 145 (Monday, July 31, 2023)]
[Rules and Regulations]
[Page 49309]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-16140]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Part 414
[CMS-5538-N]
Medicare Program; Alternative Payment Model (APM) Incentive
Payment Advisory for Clinicians--Request for Current Billing
Information for Qualifying APM Participants
AGENCY: Centers for Medicare & Medicaid Services (CMS), Health and
Human Services (HHS).
ACTION: Payment advisory.
-----------------------------------------------------------------------
SUMMARY: This advisory is to alert certain clinicians who are
Qualifying APM participants (QPs) and eligible to receive an
Alternative Payment Model (APM) Incentive Payment that CMS does not
have the current billing information needed to disburse the payment.
This advisory provides information to these clinicians on how to update
their billing information to receive this payment.
DATES: Updated billing information must be received no later than
September 1, 2023 (see SUPPLEMENTARY INFORMATION for details).
FOR FURTHER INFORMATION CONTACT: Tanya Dorm, (410) 786-2216.
SUPPLEMENTARY INFORMATION:
I. Background
Under the Medicare Quality Payment Program, an eligible clinician
who participates in an Advanced Alternative Payment Model (APM) and
meets the applicable payment amount or patient count thresholds for a
performance year is a Qualifying APM Participant (QP) for that year.
For payment years 2019 through 2024, which corresponds to Performance
Periods for 2017 through 2022, an eligible clinician who is a QP for a
year based on their performance in a QP Performance Period earns a 5
percent lump sum APM Incentive Payment that is paid in a payment year
that occurs 2 years after the QP Performance Period. The amount of the
APM Incentive Payment is equal to 5 percent of the estimated aggregate
paid amounts for covered professional services furnished by the QP
during the calendar year immediately preceding the payment year.
II. Provisions of the Advisory
The Centers for Medicare & Medicaid Services (CMS) has identified
those eligible clinicians who earned an APM Incentive Payment for the
calendar year (CY) 2023 payment year based on their QP status for the
2021 QP performance period.
When CMS disbursed the CY 2023 APM Incentive Payments, CMS was
unable to verify current Medicare billing information for some QPs and
was therefore unable to issue payment. In order to successfully
disburse the APM Incentive Payment, CMS is requesting assistance in
identifying current Medicare billing information for these QPs in
accordance with 42 CFR 414.1450(c)(8).
CMS has compiled a list of QPs we have identified as having
unverified billing information. These QPs, and any others who
anticipated receiving an APM Incentive Payment but have not, should
follow the instructions to provide CMS with updated billing information
at the following web address: https://qpp.cms.gov/resources/resource-library.
If you have any questions concerning submission of information
through the website, please contact the Quality Payment Program Help
Desk at 1-866-288-8292.
All submissions must be received no later than September 1, 2023.
After that time, any claims to an APM Incentive Payment for the CY 2023
payment period based on an eligible clinicians' QP status for the 2021
QP performance period will be forfeited.
All submissions received by September 1, 2023, will be processed
together on one date as soon as practicable after September 1, 2023.
CMS will not notify the submitter if we are unable to process the APM
Incentive Payment based on the billing information submitted for an
eligible clinician.
The Administrator of the Centers for Medicare & Medicaid Services
(CMS), Chiquita Brooks-LaSure, having reviewed and approved this
document, authorizes Evell J. Barco Holland, who is the Federal
Register Liaison, to electronically sign this document for purposes of
publication in the Federal Register.
Dated: July 25, 2023.
Evell J. Barco Holland,
Federal Register Liaison, Centers for Medicare & Medicaid Services.
[FR Doc. 2023-16140 Filed 7-28-23; 8:45 am]
BILLING CODE 4120-01-P
