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In the CY 2011 PFS final rule with comment period (75 FR 73328 through 73329), we discussed a variety of methodologies and approaches used to develop work RVUs, including survey data, building blocks, crosswalks to key reference or similar codes, and magnitude estimation (see the CY 2011 PFS final rule with comment period (75 FR 73328 through 73329) for more information)

R.) (US Department of Health and Human Services, Atlanta,1988)

Specifically, this proposed rule addresses: Background (section II.A.) Determination of PE RVUs (section II.B.) Potentially Misvalued Services Under the PFS (section II.C.) Payment for Medicare Telehealth Services Under Section 1834(m) of the Act (section II.D.) Valuation of Specific Codes (section II.E.) Evaluation and Management (E/M) Visits (section II.F.) Enhanced Care Management (section II.G.) Supervision of Outpatient Therapy Services in Private Practices, Certification of Therapy Plans of Care with a Physician or NPP Order, and KX Modifier Thresholds (section II.H.) Advancing Access to Behavioral Health Services (section II.I.) Proposals on Medicare Parts A and B Payment for Dental Services Inextricably Linked to Specific Covered Services (section II.J.) Payment for Skin Substitutes (section II.K.) Drugs and Biological Products Paid Under Medicare Part B (section III.A.) Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) (section III.B.) Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Conditions for Certification and Conditions for Coverage (CfCs) (section III.C.) Clinical Laboratory Fee Schedule: Revised Data Reporting Period and Phase-in of Payment Reductions (section III.D.) Medicare Diabetes Prevention Program (MDPP) (section III.E.) Modifications Related to Medicare Coverage for Opioid Use Disorder (OUD) Treatment Services Furnished by Opioid Treatment Programs (OTPs) (section III.F.) Medicare Shared Savings Program (section III.G.) Medicare Part B Payment for Preventive Services ( 410.10, 410.57, 410.64, 410.152) (section III.H.) Medicare Prescription Drug Inflation Rebate Program (section III.I.) Request for Information: Building upon the MIPS Value Pathways (MVPs) Framework to Improve Ambulatory Specialty Care (section III.J.) Expand Colorectal Cancer Screening (section III.K.) Requirements for Electronic Prescribing for Controlled Substances for a Covered Part D Drug under a Prescription Drug Plan or an MA-PD Plan (section III.L.) Expand Hepatitis B Vaccine Coverage (section III.M.) Low Titer O+ Whole Blood Transfusion Therapy During Ground Ambulance Transport (section III.N.) Medicare Parts A and B Overpayment Provisions of the Affordable Care Act (section III.O.) Updates to the Quality Payment Program (section IV.) ( Collection of Information Requirements (section V.) Response to Comments (section VI.) Regulatory Impact Analysis (section VII.) C

These proposed changes include requiring Shared Savings Program ACOs to report the APP Plus quality measure set beginning in performance year 2025, that would incrementally grow to comprise of 11 measures, consisting of the 6 measures in the existing APP quality measure set and 5 newly proposed measures from the Adult Universal Foundation measure set that would be incrementally incorporated ( into the APP Plus quality measure set over performance years 2025 through 2028