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The MIPS payment adjustment factors specified for a year must result in differential payments such that MIPS eligible clinicians with final scores above the performance threshold receive a ( positive MIPS payment adjustment factor, those with final scores at the performance threshold receive a neutral MIPS payment adjustment factor, and those with final scores below the performance threshold receive a negative MIPS payment adjustment factor

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Vaping may offer advantages for smokers who value the hand-to-mouth ritual and inhalation sensation, which many NRTs lack

For purposes of this cost measure exclusion policy at 414.1380(b)(2)(v)(B), we are proposing to define significant changes or errors as changes or errors external to the care provided, and that CMS determines may lead to misleading or inaccurate results that negatively impact the measure's ability to reliably assess performance