Additionally, as CMS suggested in section 60 of the revised Medicare Part B Drug Inflation Rebate Guidance, CMS considered options for establishing circumstances where a recalculation of the rebate amount may be appropriate for an applicable calendar quarter 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 (for example, manufacturer pricing or product data under section 1927(b)(3) of the Act)
Program integrity requirements for the Shared Savings Program include the requirement under 425.300 that the ACO must have a compliance plan
Such evidence is critical for guiding health behaviors, including abstaining from tobacco, alcohol, and drug, and guiding government, including policymaking, service planning, and policy evaluation
Heated Products were perceived as more socially acceptable due to their reduced smell and absence of smoke production compared to conventional cigarettes
In public comments on the CY 2023 PFS proposed rule, some commenters expressed multiple concerns regarding the requirement to report all payer/all patient eCQMs/MIPS CQMs beginning in performance year 2025, such as issues related to meeting all payer data requirements, data completeness requirements, data aggregation and deduplication issues, and interoperability issues among different EHRs (87 FR 69837)