Title 42

PART 414 SUBPART N

Subpart N - Value-Based Payment Modifier Under the Physician Fee Schedule Source:77 FR 69368, Nov. 16, 2012, unless otherwise noted.

• 42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).
• Source: 55 FR 23441, June 8, 1990, unless otherwise noted.

42:3.0.1.1.1.14.3.1	SECTION 414.1200	414.1200 Basis and scope.
42:3.0.1.1.1.14.3.2	SECTION 414.1205	414.1205 Definitions.
42:3.0.1.1.1.14.3.3	SECTION 414.1210	414.1210 Application of the value-based payment modifier.
42:3.0.1.1.1.14.3.4	SECTION 414.1215	414.1215 Performance and payment adjustment periods for the value-based payment modifier.
42:3.0.1.1.1.14.3.5	SECTION 414.1220	414.1220 Reporting mechanisms for the value-based payment modifier.
42:3.0.1.1.1.14.3.6	SECTION 414.1225	414.1225 Alignment of Physician Quality Reporting System quality measures and quality measures for the value-based payment modifier.
42:3.0.1.1.1.14.3.7	SECTION 414.1230	414.1230 Additional measures for groups and solo practitioners.
42:3.0.1.1.1.14.3.8	SECTION 414.1235	414.1235 Cost measures.
42:3.0.1.1.1.14.3.9	SECTION 414.1240	414.1240 Attribution for quality of care and cost measures.
42:3.0.1.1.1.14.3.10	SECTION 414.1245	414.1245 Scoring methods for the value-based payment modifier using the quality-tiering approach.
42:3.0.1.1.1.14.3.11	SECTION 414.1250	414.1250 Benchmarks for quality of care measures.
42:3.0.1.1.1.14.3.12	SECTION 414.1255	414.1255 Benchmarks for cost measures.
42:3.0.1.1.1.14.3.13	SECTION 414.1260	414.1260 Composite scores.
42:3.0.1.1.1.14.3.14	SECTION 414.1265	414.1265 Reliability of measures.
42:3.0.1.1.1.14.3.15	SECTION 414.1270	414.1270 Determination and calculation of Value-Based Payment Modifier adjustments.
42:3.0.1.1.1.14.3.16	SECTION 414.1275	414.1275 Value-based payment modifier quality-tiering scoring methodology.
42:3.0.1.1.1.14.3.17	SECTION 414.1280	414.1280 Limitation on review.
42:3.0.1.1.1.14.3.18	SECTION 414.1285	414.1285 Informal inquiry process.

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