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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
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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.

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The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

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