U.S. Code of Federal Regulations

Regulations most recently checked for updates: Aug 27, 2025

All TitlesTitle 42Chapter IVPart 414Subpart N - 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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