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or (2) the severity of the dental procedure

In the CY 2023 PFS final rule, we clarified the circumstances in which CMS would exercise discretion to reopen the initial determination of an ACO's financial performance for good cause to correct errors in the determination of MIPS Quality performance category scores that affect the determination of whether an ACO is eligible for shared savings, the amount of shared savings due to the ACO, or the amount of shared losses owed by the ACO (see 87 FR 69868 through 69869)

The dangerous chemicals present in cigarettes contribute to a wide range of health problems, including addiction, cancer, respiratory issues, cardiovascular diseases, and more

Plant smoke acted as a bridge to the spiritual world, used by elders and healers during sacred gatherings

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These and other considerations are detailed in the CY 2022 PFS final rule (86 FR 65453 through 65455)