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The nicotine obtained from dipping/chewing tobacco is easily absorbed in the users body in quantities that are enough to cause a very strong addiction

This is typically spat onto the ground or in a container, because swallowing the saliva-tobacco mixture can cause irritation to the esophagus and induce nausea and vomiting

We refer readers to the CY 2017 and CY 2018 Quality Payment Program final rules (81 FR 77504 and 77505 and 82 FR 53912 and 53914, respectively), the CY 2019, CY 2020, CY 2021, CY 2022, CY 2023, and CY 2024 PFS final rules (83 FR 60005 and 60006, 84 FR 63127 and 63128, 85 FR 84977 through 84979, 86 FR 65584 through 65586, and 87 FR 70151 through 70153, and 88 FR 79439 through 79441, respectively) for our previously finalized requirements and burden for quality data submission via the MIPS CQM and QCDR collection types

S2CID 207276270

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