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In an effort to represent an ongoing shift to non-stigmatizing language, we are proposing to make a technical change to remove the term grandfathered from the regulation text in 405.2462, 405.2463, 405.2464, and 405.2469 and replace it with historically excepted to describe a level of protection provided to certain tribal FQHCs that predates applicable restrictions

We note that section 1848(c)(2)(A)(ii) of the Act authorizes the use of extrapolation and other techniques to determine the RVUs for physicians' services for which specific data are not available and requires us to take into account the results of consultations with organizations representing physicians who provide the services

Since MIPS eligible clinicians do not submit data separately for measures in the cost performance category and we score cost measures based solely on Medicare claims data, the proposed reweighting policy does not apply to the cost performance category

We are proposing to remove the bridge payment from the MDPP CY 2025 Fee Schedule