Medicare CQMs are aligned with MIPS standards for data completeness, measure benchmarking, and scoring (88 FR 79099 and 88 FR 79108)
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In this rulemaking, CMS proposes to determine the payment amount benchmark quarter as follows: For a Part B rebatable drug that was billed under a NOC code during the calendar quarter beginning July 1, 2021, or the third full calendar quarter after such drug's first marketed date, whichever is later, CMS proposes that the payment amount benchmark quarter be the third full calendar quarter after the Part B rebatable drug is assigned a billing and payment code other than a NOC code
and/or, education or support sessions to improve selfhelp or selfawareness of oral hygiene
If the ACO fails to meet the applicable quality performance standard established in 425.512 or the alternative quality performance standard, the ACO is subject to 1st dollar losses at a rate of 75 percent ( 425.610(f)(4)(ii))
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