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Physician Payment and Quality

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CONTACTS
Contact Regulatory and Policy Team

Medicare makes payments under the physician fee schedule (PFS) for the services of physicians and other health care professionals. Payments are based on the relative resources used to deliver the services. These payment rates are increased or decreased based on physician performance in the Quality Payment Program (QPP).

In addition to fee schedule payments, physicians may participate in alternative payment models under the Medicare program and receive capitated payments, bundled payments, or shared savings. Each year, the Centers for Medicare & Medicaid Services (CMS) issues the PFS/QPP rules that updates payment amounts and sets forth payment policies for physicians and other health care professionals for the calendar year (CY). 
Access resources about the PFS and QPP below.

Medicare PFS and QPP

Video

Comment Letters (PDF)

Regulatory Resource (PDF)

Clinical Practices Solution Center

The Clinical Practice Solutions Center (CPSC) is a joint product of the AAMC and Vizient that collects billing data from member practice plans to provide benchmarks and help them improve performance.

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