Merit-Based Incentive Payment System and Alternative Payment Model Incentive | Midpage

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Code of Federal Regulations

Subpart O

Merit-Based Incentive Payment System and Alternative Payment Model Incentive

414.1300Basis and scope.414.1305Definitions.414.1310Applicability.414.1315Virtual groups.414.1317APM Entity groups.414.1318Subgroups.414.1320MIPS performance period.414.1325Data submission requirements.414.1330Quality performance category.414.1335Data submission criteria for the quality performance category.414.1340Data completeness criteria for the quality performance category.414.1350Cost performance category.414.1355Improvement activities performance category.414.1360Data submission criteria for the improvement activities performance category.414.1367APM performance pathway.414.1370APM scoring standard under MIPS.414.1375Promoting Interoperability (PI) performance category.414.1380Scoring.414.1385Targeted review and review limitations.414.1390Data validation and auditing.414.1395Public reporting.414.1400Third party intermediaries.414.1405Payment.414.1410Advanced APM determination.414.1415Advanced APM criteria.414.1420Other payer advanced APM criteria.414.1425Qualifying APM participant determination: In general.414.1430Qualifying APM participant determination: QP and partial QP thresholds.414.1435Qualifying APM participant determination: Medicare option.414.1440Qualifying APM participant determination: All-payer combination option.414.1445Determination of other payer advanced APMs.414.1450APM incentive payment.414.1455Limitation on review.414.1460Monitoring and program integrity.414.1465Physician-focused payment models.