Statutes, codes, and regulations
Code of Federal Regulations
Title 42 - PUBLIC HEALTHChapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICESSubchapter B - MEDICARE PROGRAMPart 414 - PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
Subpart N - VALUE-BASED PAYMENT MODIFIER UNDER THE PHYSICIAN FEE SCHEDULE
Section 414.1245 - Scoring methods for the value-based payment modifier using the quality-tiering approach

42 C.F.R. § 414.1245

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Current through May 31, 2024
Section 414.1245 - Scoring methods for the value-based payment modifier using the quality-tiering approach

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.

42 C.F.R. §414.1245

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