MACRA QPP Center

Physicians Advocacy Institute

Frequently Asked Questions Updated for 2020

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4. How do I know if I am a QP or PQ?

  1. CMS has three evaluation periods during which it makes QP determinations. To be considered part of the APM Entity, an eligible clinician must on an APM participation list on one of the following dates
    • March 31 – physicians will be notified of their status after July 2020
    • June 30 – physicians will be notified of their status after October 2020
    • August 31 – physicians will be notified of their status after December 2020 

    CMS will review the APM Entity’s participation list and review the collective performance of the APM Entity as a group to determine if the QP/PQ thresholds have been met. As noted above, if a PQ determination is made for the APM Entity, the APM Entity has the option to participate in MIPS to be eligible for the MIPS positive payment adjustment. Use the CMS APM Lookup tool to determine your status after each of these evaluation periods.



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