Quality bonus payment

Quality bonus payment (QBP) means -
(i) Enhanced CMS payments to MA organizations based on the organization's demonstrated quality of its Medicare contract operations; or
(ii) Increased beneficiary rebate retention allowances based on the organization's demonstrated quality of its Medicare contract operations.

Source

42 CFR § 422.260


Scoping language

Scope. The provisions of this section pertain to the administrative review process to appeal quality bonus payment status determinations based on section 1853(o) of the Act. Such determinations are made based on the overall rating for MA-PDs and Part C summary rating for MA-only contracts for the contract assigned under subpart D of this part.

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