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Value Modifier (VM) Public Use File (PUF)

Guidance for the Value Modifier (VM) Public Use File (PUF) which is a standard analytical file intended to promote transparency. For each VM performance year, CMS will publish a PUF that contains Value Modifier performance results of de-identified practices that were subject to the VM program.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: August 24, 2018

Value Modifier (VM) Public Use File (PUF) - The Centers for Medicare and Medicaid Services (CMS) has created a standard analytical file intended to promote transparency. For each VM performance year, CMS will publish a PUF that contains Value Modifier performance results of de-identified practices that were subject to the VM program.  CMS provides supporting documentation for each PUF that contains the field name, length, type, label, description, and notes for each variable included in the PUF.

  • Data Alert: The Performance Year 2016 (Payment Year 2018) VM PUF has been made available.
  • Data Alert: The 2013, 2014, and 2015 Value Modifier (VM) Public Use File (PUF) data dictionaries have all
         been updated to clarify the long descriptions and notes of one variable.  Specifically, the ‘GPRO’ variable was
         clarified to indicate it reflects registering to report, not the actual reporting of data.  The 2015 VM PUF data
         dictionary was also updated to clarify the long descriptions and notes of two additional variables.  Specifically, the
         ‘UPDATED_VM’ variable was updated to reflect it’s populated for all practices and the ‘CATEGORY’ variable
         was updated to define two possible values.  The data and results in each of the VM PUFs were not changed and
         remain accurate.
  • Data Alert: The Performance Year 2015 (Payment Year 2017) Value Modifier PUF has been made available.
  • Data Alert: The Performance Year 2014 (Payment Year 2016) Value Modifier PUF has been made available.
  • Data Alert: The Performance Year 2013 (Payment Year 2015) Value Modifier PUF has been made available.

The Value Modifier PUFs and supporting documentation are downloadable below. The Value Modifier PUFs are also available in an interactive format on data.cms.gov.

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.