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While we understand the commenter's recommendation to use the targeted review policy for indicating accidental submissions and allow scoring corrections, we note that at the time of submission, the system on the Quality Payment Program website generates warnings to the submitter (for all the available submission types) if there is an existing approved reweighting for the performance category in which the data is being submitted or an existing data submission for an individual MIPS eligible clinician, group, virtual group, subgroup, or APM Entity

Our regulation at 42 CFR 411.15(i) similarly excludes payment for dental services except for inpatient hospital services in connection with dental services when hospitalization is required because of: (1) the individual's underlying medical condition and clinical status

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Depending on the patients prognosis and response to therapy, many hospice patients can spend the remainder of their time at home instead of a hospice care center