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CMS does not intend to review suggestions of error that are out-of-scope or submissions for a rebatable drug with an amount due of $0

In 427.101(c)(3), CMS proposes to codify the policies and methodological steps as described in section 30.2 of the revised Medicare Part B Drug Inflation Rebate Guidance for excluding drugs and biological products with average total allowed charges below the applicable threshold at the billing and payment code level

To apply this policy to subgroups reporting an MVP, we also propose to update 414.1365(d)(3)(i)(A)( 1 ) to provide that for the CY 2023 through 2024 performance periods/2025 through 2026 MIPS payment years, subgroups will be scored on the selected population health measure based on its affiliated group score, if available, and beginning in the CY 2025 performance period/2027 MIPS payment year a subgroup is scored on the highest score of all available population health measures based on its affiliated group score, if available

Cigarette smoking is the most common method of tobacco consumption

Prior to learning about the exact dimensions, here are some factors to keep in mind