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- 42 CFR 414.1200 · Basis and scope.
- 42 CFR 414.1205 · Definitions.
- 42 CFR 414.1210 · Application of the value-based payment modifier.
- 42 CFR 414.1215 · Performance and payment adjustment periods for the value-based payment modifier.
- 42 CFR 414.1220 · Reporting mechanisms for the value-based payment modifier.
- 42 CFR 414.1225 · Alignment of Physician Quality Reporting System quality measures and quality measures for the value-based payment modifier.
- 42 CFR 414.1230 · Additional measures for groups and solo practitioners.
- 42 CFR 414.1235 · Cost measures.
- 42 CFR 414.1240 · Attribution for quality of care and cost measures.
- 42 CFR 414.1245 · Scoring methods for the value-based payment modifier using the quality-tiering approach.
- 42 CFR 414.1250 · Benchmarks for quality of care measures.
- 42 CFR 414.1255 · Benchmarks for cost measures.
- 42 CFR 414.1260 · Composite scores.
- 42 CFR 414.1265 · Reliability of measures.
- 42 CFR 414.1270 · Determination and calculation of Value-Based Payment Modifier adjustments.
- 42 CFR 414.1275 · Value-based payment modifier quality-tiering scoring methodology.
- 42 CFR 414.1280 · Limitation on review.
- 42 CFR 414.1285 · Informal inquiry process.
- 42 CFR 414.1300 · Basis and scope.
- 42 CFR 414.1305 · Definitions.
- 42 CFR 414.1310 · Applicability.
- 42 CFR 414.1315 · Virtual groups.
- 42 CFR 414.1317 · APM Entity groups.
- 42 CFR 414.1318 · Subgroups.
- 42 CFR 414.1320 · MIPS performance period.
- 42 CFR 414.1325 · Data submission requirements.
- 42 CFR 414.1330 · Quality performance category.
- 42 CFR 414.1335 · Data submission criteria for the quality performance category.
- 42 CFR 414.1340 · Data completeness criteria for the quality performance category.
- 42 CFR 414.1350 · Cost performance category.
- 42 CFR 414.1355 · Improvement activities performance category.
- 42 CFR 414.1360 · Data submission criteria for the improvement activities performance category.
- 42 CFR 414.1365 · MIPS Value Pathways.
- 42 CFR 414.1367 · APM performance pathway.
- 42 CFR 414.1370 · APM scoring standard under MIPS.
- 42 CFR 414.1375 · Promoting Interoperability (PI) performance category.
- 42 CFR 414.1380 · Scoring.
- 42 CFR 414.1385 · Targeted review and review limitations.
- 42 CFR 414.1390 · Data validation and auditing.
- 42 CFR 414.1395 · Public reporting.
- 42 CFR 414.1400 · Third party intermediaries.
- 42 CFR 414.1405 · Payment.
- 42 CFR 414.1410 · Advanced APM determination.
- 42 CFR 414.1415 · Advanced APM criteria.
- 42 CFR 414.1420 · Other payer advanced APM criteria.
- 42 CFR 414.1425 · Qualifying APM participant determination: In general.
- 42 CFR 414.1430 · Qualifying APM participant determination: QP and partial QP thresholds.
- 42 CFR 414.1435 · Qualifying APM participant determination: Medicare option.
- 42 CFR 414.1440 · Qualifying APM participant determination: All-payer combination option.
- 42 CFR 414.1445 · Determination of other payer advanced APMs.
- 42 CFR 414.1450 · APM incentive payment.
- 42 CFR 414.1455 · Limitation on review.
- 42 CFR 414.1460 · Monitoring and program integrity.
- 42 CFR 414.1465 · Physician-focused payment models.
- 42 CFR 414.1500 · Basis, purpose, and scope.
- 42 CFR 414.1505 · Requirement for payment.
- 42 CFR 414.1510 · Beneficiary qualifications for coverage of services.
- 42 CFR 414.1515 · Plan of care requirements.
- 42 CFR 414.1550 · Basis of payment.
- 42 CFR 414.1600 · Purpose and definitions.
- 42 CFR 414.1650 · Payment basis for lymphedema compression treatment items.
- 42 CFR 414.1660 · Continuity of pricing when HCPCS codes are divided or combined.
- 42 CFR 414.1670 · Procedures for making benefit category determinations and payment determinations for new lymphedema compression treatment items.
- 42 CFR 414.1680 · Frequency limitations.
- 42 CFR 414.1690 · Application of competitive bidding information.
- 42 CFR 414.1700 · Basis of payment.
- 42 CFR 415.1 · Basis and scope.
- 42 CFR 415.50 · Scope.
- 42 CFR 415.55 · General payment rules.
- 42 CFR 415.60 · Allocation of physician compensation costs.
- 42 CFR 415.70 · Limits on compensation for physician services in providers.
- 42 CFR 415.100 · Scope.
- 42 CFR 415.102 · Conditions for fee schedule payment for physician services to beneficiaries in providers.
- 42 CFR 415.105 · Amounts of payment for physician services to beneficiaries in providers.
- 42 CFR 415.110 · Conditions for payment: Medically directed anesthesia services.
- 42 CFR 415.120 · Conditions for payment: Radiology services.
- 42 CFR 415.130 · Conditions for payment: Physician pathology services.
- 42 CFR 415.140 · Conditions for payment: Split (or shared) visits.
- 42 CFR 415.150 · Scope.
- 42 CFR 415.152 · Definitions.
- 42 CFR 415.160 · Election of reasonable cost payment for direct medical and surgical services of physicians in teaching hospitals: General provisions.
- 42 CFR 415.162 · Determining payment for physician services furnished to beneficiaries in teaching hospitals.
- 42 CFR 415.164 · Payment to a fund.
- 42 CFR 415.170 · Conditions for payment on a fee schedule basis for physician services in a teaching setting.
- 42 CFR 415.172 · Physician fee schedule payment for services of teaching physicians.
- 42 CFR 415.174 · Exception: Evaluation and management services furnished in certain centers.
- 42 CFR 415.176 · Renal dialysis services.
- 42 CFR 415.178 · Anesthesia services.
- 42 CFR 415.180 · Teaching setting requirements for the interpretation of diagnostic radiology and other diagnostic tests.
- 42 CFR 415.184 · Psychiatric services.
- 42 CFR 415.190 · Conditions of payment: Assistants at surgery in teaching hospitals.
- 42 CFR 415.200 · Services of residents in approved GME programs.
- 42 CFR 415.202 · Services of residents not in approved GME programs.
- 42 CFR 415.204 · Services of residents in skilled nursing facilities and home health agencies.
- 42 CFR 415.206 · Services of residents in nonprovider settings.
- 42 CFR 415.208 · Services of moonlighting residents.
- 42 CFR 416.1 · Basis and scope.
- 42 CFR 416.2 · Definitions.
- 42 CFR 416.25 · Basic requirements.
- 42 CFR 416.26 · Qualifying for an agreement.