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Value-Based Payment Modifier Under the Physician Fee Schedule
Law
CFR 42
Public Health
Centers for Medicare & Medicaid Services, Department of Health and Human Services
Medicare Program
Payment for Part B Medical and Other Health Services
Value-Based Payment Modifier Under the Physician Fee Schedule
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Section
414.1200
Basis and scope.
Section
414.1205
Definitions.
Section
414.1210
Application of the value-based payment modifier.
Section
414.1215
Performance and payment adjustment periods for the value-based payment modifier.
Section
414.1220
Reporting mechanisms for the value-based payment modifier.
Section
414.1225
Alignment of Physician Quality Reporting System quality measures and quality measures for the value-based payment modifier.
Section
414.1230
Additional measures for groups and solo practitioners.
Section
414.1235
Cost measures.
Section
414.1240
Attribution for quality of care and cost measures.
Section
414.1245
Scoring methods for the value-based payment modifier using the quality-tiering approach.
Section
414.1250
Benchmarks for quality of care measures.
Section
414.1255
Benchmarks for cost measures.
Section
414.1260
Composite scores.
Section
414.1265
Reliability of measures.
Section
414.1270
Determination and calculation of Value-Based Payment Modifier adjustments.
Section
414.1275
Value-based payment modifier quality-tiering scoring methodology.
Section
414.1280
Limitation on review.
Section
414.1285
Informal inquiry process.