---
kind: "section"
citation: "42 C.F.R. § 414.1240"
title: "42"
number: "414.1240"
heading: "Attribution for quality of care and cost measures."
url: "https://uscodex.org/cfr/42/414.1240"
---

# §414.1240. Attribution for quality of care and cost measures.

- (a) Beneficiaries are attributed to groups and solo practitioners subject to the value-based payment modifier using a method generally consistent with the method of assignment of beneficiaries under [§ 425.402](/cfr/42/425.402.md) of this chapter, for measures other than the Medicare Spending per Beneficiary measure.
- (b) For the Medicare Spending per Beneficiary (MSPB) measure, an MSPB episode is attributed to the group or the solo practitioner subject to the value-based payment modifier whose eligible professionals submitted the plurality of claims (as measured by allowable charges) under the group's or solo practitioner's TIN for Medicare Part B services, rendered during an inpatient hospitalization that is an index admission for the MSPB measure during the applicable performance period described at [§ 414.1215](/cfr/42/414.1215.md).

## Notes

### Amendments

[79 FR 68007, Nov. 13, 2014]

### Source

Source: 77 FR 69368, Nov. 16, 2012, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).

### Source

Source: 55 FR 23441, June 8, 1990, unless otherwise noted.

### Amendments

[79 FR 68007, Nov. 13, 2014]