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Specifically, this proposed rule addresses: Background (section II.A.) Determination of PE RVUs (section II.B.) Potentially Misvalued Services Under the PFS (section II.C.) Payment for Medicare Telehealth Services Under Section 1834(m) of the Act (section II.D.) Valuation of Specific Codes (section II.E.) Evaluation and Management (E/M) Visits (section II.F.) Enhanced Care Management (section II.G.) Supervision of Outpatient Therapy Services in Private Practices, Certification of Therapy Plans of Care with a Physician or NPP Order, and KX Modifier Thresholds (section II.H.) Advancing Access to Behavioral Health Services (section II.I.) Proposals on Medicare Parts A and B Payment for Dental Services Inextricably Linked to Specific Covered Services (section II.J.) Payment for Skin Substitutes (section II.K.) Drugs and Biological Products Paid Under Medicare Part B (section III.A.) Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) (section III.B.) Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Conditions for Certification and Conditions for Coverage (CfCs) (section III.C.) Clinical Laboratory Fee Schedule: Revised Data Reporting Period and Phase-in of Payment Reductions (section III.D.) Medicare Diabetes Prevention Program (MDPP) (section III.E.) Modifications Related to Medicare Coverage for Opioid Use Disorder (OUD) Treatment Services Furnished by Opioid Treatment Programs (OTPs) (section III.F.) Medicare Shared Savings Program (section III.G.) Medicare Part B Payment for Preventive Services ( 410.10, 410.57, 410.64, 410.152) (section III.H.) Medicare Prescription Drug Inflation Rebate Program (section III.I.) Request for Information: Building upon the MIPS Value Pathways (MVPs) Framework to Improve Ambulatory Specialty Care (section III.J.) Expand Colorectal Cancer Screening (section III.K.) Requirements for Electronic Prescribing for Controlled Substances for a Covered Part D Drug under a Prescription Drug Plan or an MA-PD Plan (section III.L.) Expand Hepatitis B Vaccine Coverage (section III.M.) Low Titer O+ Whole Blood Transfusion Therapy During Ground Ambulance Transport (section III.N.) Medicare Parts A and B Overpayment Provisions of the Affordable Care Act (section III.O.) Updates to the Quality Payment Program (section IV.) ( Collection of Information Requirements (section V.) Response to Comments (section VI.) Regulatory Impact Analysis (section VII.) C

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The Rebate Report would serve as the invoice for the rebate amount due, if any, for each NDC that has been assigned to a billing and payment code for a product determined to be a Part B rebatable drug for the applicable calendar quarter, as specified in proposed 427.101