If a higher risk track were to be offered in the Shared Savings Program in the future, CMS would consider replacing the existing ENHANCED track in order to prevent further selective participation and maintain the balance between increased participation and compliance with applicable statutory requirements
A rebate reduction request should specify each NDC-11 and HCPCS code to which the request applies and if CMS grants a manufacturer's request for an NDC-11, CMS proposes in 427.402(b)(3) that the rebate reduction would apply to all the NDC-11s under the relevant HCPCS code
Burden estimates for this proposed rule assume group TIN-level reporting as we believe this is the most reasonable assumption for MIPS eligible clinicians in the Shared Savings Program, which requires that ACOs include full TINs as ACO participants
This could be particularly disadvantageous for ACOs that serve a high proportion of underserved populations because, while ACOs that report eCQMs and/or Medicare CQMs and serve a high proportion of underserved populations are eligible for health equity adjustment points, ACOs must score in the top or middle thirds of ACO measure performers to earn health equity adjustment points
Recurrent aphthous stomatitis
Occupational therapy services may be performed by an occupational therapy assistant under the general supervision of the occupational therapist in private practice
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