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- Code of Federal Regulations
- C.F.R. 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
42 C.F.R. § 414.1280
Limitation on review.
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Source: 77 FR 69368, Nov. 16, 2012, unless otherwise noted.
Table of Contents
Subpart N—Value-Based Payment Modifier Under the Physician Fee Schedule
- §414.1200 Basis and scope.
- §414.1205 Definitions.
- §414.1210 Application of the value-based payment modifier.
- §414.1215 Performance and payment adjustment periods for the value-based payment modifier.
- §414.1220 Reporting mechanisms for the value-based payment modifier.
- §414.1225 Alignment of Physician Quality Reporting System quality measures and quality measures for the value-based payment modifier.
- §414.1230 Additional measures for groups and solo practitioners.
- §414.1235 Cost measures.
- §414.1240 Attribution for quality of care and cost measures.
- §414.1245 Scoring methods for the value-based payment modifier using the quality-tiering approach.
- §414.1250 Benchmarks for quality of care measures.
- §414.1255 Benchmarks for cost measures.
- §414.1260 Composite scores.
- §414.1265 Reliability of measures.
- §414.1270 Determination and calculation of Value-Based Payment Modifier adjustments.
- §414.1275 Value-based payment modifier quality-tiering scoring methodology.
- §414.1280 Limitation on review.
- §414.1285 Informal inquiry process.