The submitter noted that we finalized that payment can be made for certain dental services prior to or contemporaneously with chemotherapy, CAR T-Cell therapy, and the administration of high-dose bone-modifying agents (anti-resorptive therapy), when used in the treatment of cancer
Less than one-in-ten women do
For a Part D rebatable drug first approved or licensed on or before October 1, 2021, section 1860D-14B(b)(4) of the Act specifies that the benchmark period manufacturer price is the sum of the products of (1) the AMP for the Part D rebatable drug reported for each calendar quarter of the payment amount benchmark period (that is, January 1, 2021, through September 30, 2021), and (2) the total units reported for each of the corresponding calendar quarters of the payment amount benchmark period divided by the total units of the Part D rebatable drug reported for the 3 calendar quarters in the payment amount benchmark period
To codify the existing process for multiple data submissions for the quality and improvement activities performance categories, we are proposing to add at 414.1325(f)(1) that for multiple data submissions received in the quality and improvement activities performance categories in accordance with paragraphs (a)(1)(i) and (ii) for an individual MIPS eligible clinician, group, subgroup, or virtual group from submitters in multiple organizations (for example, qualified registry, practice administrator, or EHR vendor), CMS will calculate and score each submission received and assign the highest of the scores
The applicable Medicare FFS beneficiary population is specified in the regulations governing each program operation
