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In the CY 2018 Quality Payment Program final rule (82 FR 53780), we stated that we will determine a quality performance category percent score whenever a MIPS eligible clinician has submitted at least one quality measure

If phenytoin and valproate are used together, should be closely monitored

Interested parties told us that while CMS allows treatment to begin before the physician's/NPP's signature is obtained, PTs, OTs, and SLPs in private practice do so at their own risk, knowing that they might not ( be paid for the services if the physician's office does not send back the signed plan of treatment

With this recalculation we would determine the amount of shared savings payment the ACO may be eligible to receive or the amount of shared losses the ACO may owe for the performance year after accounting for the impact of the improper payments