not maintained or updated to reflect current clinical guidelines, which are not reflective of a clinician's scope of practice
As described in the sections below, we are proposing that a billing practitioner who is part of a Shared Saving Program ACO, or CMS Innovation Center ACO or participating in Making Care Primary or Primary Care First would already satisfy the proposed practice-level requirements for patient population-level management (see section II.G.2.c.(9) of this proposed rule), and performance measurement (see section II.G.2.c.(10) of this proposed rule) by meeting separately applicable participation requirements within the Shared Savings Programs and models
(4) Mandatory Subgroup Reporting for Small Practice TINs At 414.1305, we define a small practice to mean a TIN consisting of 15 or fewer eligible clinicians during the MIPS determination period
What risk adjustments should be made to proposed payments to account for higher costs of traditionally underserved populations
Additionally, as suggested in section 50 the revised Medicare Part D Drug Inflation Rebate Guidance, CMS considered options for establishing circumstances where a recalculation of the rebate amount may be appropriate for an applicable period after issuing the Rebate Report and/or a reconciled rebate amount based on CMS identifying an error or CMS determining that the information used by CMS to calculate a rebate amount was inaccurate due to false reporting or similar fault by the manufacturer
