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We note that section 1848(c)(2)(A)(ii) of the Act authorizes the use of extrapolation and other techniques to determine the RVUs for physicians' services for which specific data are not available and requires us to take into account the results of consultations with organizations representing physicians who provide the services

We award the achievement points (including partial points) based on which benchmark decile range the MIPS eligible clinician's performance on the measure is between

In an effort to represent an ongoing shift to non-stigmatizing language, we are proposing to make a technical change to remove the term grandfathered from the regulation text in 405.2462, 405.2463, 405.2464, and 405.2469 and replace it with historically excepted to describe a level of protection provided to certain tribal FQHCs that predates applicable restrictions

CMS proposes that for a recalculation due to agency error, the error must be identified within 3 years of the date of receipt of the reconciled rebate amount for the applicable calendar quarter (see proposed 427.501(d)(2)(i))