Value Based Payment Modifier

Value Based Payment Modifier

What is the Value Based Payment Modifier (VM)?

The VM assesses both quality of care furnished and the cost of that care under the Medicare Physician Fee Schedule (MPFS) and CMS has begun with a phase-in of the VM in 2015, which will be completed by 2017. Implementation of the VM is based on participation in Physician Quality Reporting System (PQRS). For CY 2013, the VM applies to groups of physicians with 100 or more eligible professionals (EPs). In CY 2014, CMS is expanding this to groups with 10 or more EPs.