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therefore CPT code 96040 was considered bundled into O/O E/M visits

These ACOs would also be reasonably confident they will be able to repay CMS through their earned shared savings and would therefore be comfortable spending the funding they receive

For purposes of determining the maximum and minimum range of potential MIPS payment adjustment factors, section 1848(q)(6)(B) of the Act defines the applicable percentage as 9 percent for the CY 2025 performance period/2027 MIPS payment year

No covariates were selected as significant by the bias covariate algorithm, and no publication bias was detected (Table 2)

CPT 99202-99215: Evaluation and Management (E/M) Services

We are adding a new paragraph (b)(3) to 425.512 to establish for performance year 2025 and subsequent performance years that for an ACO that reports all of the eCQMs/Medicare CQMs in the APP Plus quality measure set, meeting the data completeness requirement for all of the eCQMs/Medicare CQMs, and administers the CAHPS for MIPS survey (except as specified in 414.1380(b)(1)(vii)(B)), CMS calculates the ACO's health equity adjusted quality performance score as the sum of the ACO's MIPS Quality performance category score for all measures in the APP Plus quality measure set and the ACO's health equity adjustment bonus points