1. LawStack
  2. Title 42 - Public Health
  3. Chapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  4. Subchapter B - MEDICARE PROGRAM
  5. Part 414 - PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
  6. Subpart N - Value-Based Payment Modifier Under the Physician Fee Schedule
  7. 42 CFR § 414.1245
42 CFR § 414.1245
Scoring methods for the value-based payment modifier using the quality-tiering approach
June 11, 2020
CFR

For each quality of care and cost measure, a standardized score is calculated for each group and solo practitioner subject to the value-based payment modifier by dividing—

(a) The difference between their performance rate and the benchmark, by

(b) The measure's standard deviation.

[77 FR 69368, Nov. 16, 2012, as amended at 79 FR 68007, Nov. 13, 2014]

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§ 414.1210 Application of the value-based payment modifier
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§ 414.1215 Performance and payment adjustment periods for the value-based payment modifier

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