Features Navigation

Get Live Chat Request a Callback Get live demo

← Back

New Set of CMS FAQs


With applications for the new Bundled Payment for Care Improvement (BPCI) Advanced Model due March 12, the Centers for Medicare & Medicaid Services (CMS) released a new set of Frequently Asked Questions clarifying the application process and other topics. Medical group practices and hospitals are eligible to participate on their own, or with multiple entities under a convener.

Once the application is submitted, additional practices cannot be added. The model is set to begin Oct. 1, 2018. Qualifying Advanced Payment Model Participant determinations for the Medicare Quality Payment Program (QPP) will start in 2019 and vary by participant type, see below:

Bundled Payments for Care Improvement (BPCI) Advanced and Qualifying Advanced Payment Model Participant (QP) determinations

The first “snapshot” date for QP determination for eligible clinicians (ECs) following the start of BPCI Advanced will be March 31, 2019.

* Advanced APM ECs include physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, certified nurse-midwives, clinical social workers, clinical psychologists, registered dietitians or nutrition professionals, physical or occupational therapists, qualified speech-language pathologists, and qualified audiologists.

** NPRA = Net Payment Reconciliation Amount (final amount owed to or by a participant following reconciliation of actual spending against target spending)

*** A single convener can send in multiple applications and manage participants separately if group practices do not want to be assessed collectively or if hospital sharing partners want to qualify for QP status.


Courtesy of MGMA, March 8, 2018.


Other Resources Related to This Topic


2024 MIPS Improvement Activities (IA) Category Guide

Read this eGuide to learn what’s new, updated or removed for the 2024 IA Category...


How to work with MIPS CQM Data

In this recorded webinar you’ll learn how to collect and submit MIPS CQM data. You’ll...


2023 MIPS Attestation Guide

Doctors who provide services to Medicare patients have two tracks to choose from to receive...

“The money I have invested in AdvancedMD is miniscule compared to the return. I have never been more efficient – ever – in my professional life as I am now.”

Jed Shay, MD
The Pain Care Center

Read the story  ›

“[Our] patients are very well-educated and well-informed, and they want to see results quickly. The practice has to run extremely efficiently and be accessible to them. The nice thing about [AdvancedMD] is it has allowed me to be more efficient both in and out of the office. Now I don’t have to come back into the office, which is great for my family and everything else. It saves me a lot of time – probably an hour a day on the three days I work in the second office.”

Keith Berkowitz, MD
Center for Balanced Health

Read the story  ›
Estaban Lavato, MD - La Loma Medical Center

“The best thing I ever did in private practice was getting AdvancedMD—it has liberated me.”

Estaban Lavato, MD
La Loma Medical Center

“Having integrated practice management and EHR is absolutely wonderful, you don’t have to flip back and forth between systems—all of your information is at hand when needed.”

Raju Raval, MD

Read the story  ›