Specifically, we note that CMS has not yet covered or paid for any drugs or biologicals (hereinafter, referred to as drugs) under the benefit category of additional preventive services
In the CY 2023 PFS final rule, we adopted policies to modify the regional adjustment under 425.656 (refer to 87 FR 69915 through 69923) and to reinstate a prior savings adjustment under 425.658 (refer to 87 FR 69898 through 69915)
ACOs have been found to perform better on certain patient-experience and performance measures than physician groups participating in the MIPS
Because an oral or dental infection can present substantial risk to the success of dialysis treatment for ESRD, we believe dental services furnished to identify, diagnose, and treat oral or dental infections prior to or contemporaneously with dialysis services in the treatment of ESRD are not in connection with the care, treatment, filling, removal, or replacement of teeth or structures directly supporting teeth, but instead are inextricably linked to, and substantially related and integral to the clinical success of, these other covered medical services
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