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

Download
PDF
Current through October 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