Code of Federal Regulations (Last Updated: May 6, 2024) |
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 |
§ 414.1245 - Scoring methods for the value-based payment modifier using the quality-tiering approach.
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§ 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.
[77 FR 69368, Nov. 16, 2012, as amended at 79 FR 68007, Nov. 13, 2014]