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Consequently, we propose to combine the two aforementioned indexes to reflect those modes of purchase

This coordination should occur between a dentist and another medical professional (physician or other non-physician practitioner) regardless of whether both individuals are affiliated with or employed by the same entity

We would apply a scaling factor in cases where it is determined that the provider or supplier did not bill the correct code for a particular service

Currently, reporting for traditional MIPS is seen as siloed across the performance categories

We believe that considering the significance of the potential impact of the improper payments on the ACO's payment determination, in deciding whether to reopen the payment determination, is a key component of striking a balance between improving the accuracy of the calculations and ACOs' and CMS' interest in administrative finality of payment determinations

and whether evaluation and management services are furnished on the same date of service as psychotherapy