GroundRules
42 CFR 414.1245: Scoring methods for the value-based payment modifier using the quality-tiering approach.
Where this section sits in the code
- Title 42—Public Health
- CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
- SUBCHAPTER B—MEDICARE PROGRAM
- PART 414—PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
- Subpart N—Value-Based Payment Modifier Under the Physician Fee Schedule
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.
Collected 2026-08-27T02:26:11Z. Source file · JSON