Value-Based Payment Modifier Resource Center


A provision of the Patient Protection and Affordable Care Act implements a Value-Based Payment Modifier (VBPM) under the Medicare Physician Fee Schedule, which is directly tied to PQRS participation. 2016 PQRS performance will be used to determine the 2018 VBPM. The program will sunset after the 2018 payment adjustment year and be replaced by the new Merit-Based Incentive Payment System (MIPS), which is a consolidated quality reporting program under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). for more information about MIPS, visit MGMA's MACRA/QPP Resource Center.

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MGMA Advocacy

  • MGMA calls for exemptions to pre-MIPS quality reporting program penalties
  • MGMA letter to CMS: extend 2017 PQRS informal review deadline and allow for manual review of erroneous automatic denials
  • MGMA submits formal comments in response to the release of the Proposed 2017 Medicare Physician Fee Schedule

To see all of MGMA's advocacy efforts, visit the Advocacy Archive.

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