42 CFR § 414.1245 - Scoring methods for the value-based payment modifier using the quality-tiering approach.
---
identifier: "/us/cfr/t42/s414.1245"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 414.1245 - Scoring methods for the value-based payment modifier using the quality-tiering approach."
title_number: 42
title_name: "Public Health"
section_number: "414.1245"
section_name: "Scoring methods for the value-based payment modifier using the quality-tiering approach."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "B"
subchapter_name: "MEDICARE PROGRAM"
part_number: "414"
part_name: "PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302, 1395hh, and 1395rr(b)(l)."
regulatory_source: "55 FR 23441, June 8, 1990, unless otherwise noted."
cfr_part: "414"
---
# 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]