1. What is the difference between a QP and PQ? A QP is a Qualifying Advanced APM Participant – A physician who participates in an Advanced APM Entity and meet QP thresholds, is eligible for the 5% incentive payment, and is exempt from MIPS. A PQ is a Partially Qualifying Advanced APM Participant – A physician who participates in an Advanced APM Entity, meets PQ thresholds but does not meet QP thresholds (PQ thresholds are lower than the QP thresholds), is not eligible for the 5% incentive payment, and is exempt from MIPS; but the APM Entity has the option to participate in MIPS to be eligible for a positive payment adjustment. Use the CMS APM Lookup tool to determine your statusTo learn more about QP/PQ determinations, please see the Advanced APM Overview resource. Pages Advanced APM QP/PQ Thresholds1. What is the difference between a QP and PQ?2. How do I know if I am a QP or PQ?3. How are the QP/PQ thresholds determined?4. Do I have to meet both the Medicare patient count and payment amount QP/PQ thresholds?5. What if I do not meet either the QP or PQ thresholds? Do I have to participate in MIPS? Comments are closed.
