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Regarding the proposed conforming changes to our requirements for the phase-in of payment reductions, we note that for CYs 2025 through 2027, payment may not be reduced by more than 15 percent as compared to the amount established for the preceding year

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Lastly, in the CY 2020 PFS final rule (84 FR 62958 through 62959), we expanded the criteria for measure removal to include MIPS quality measures that do not meet case minimum and reporting volumes required for benchmarking after being in the program for 2 consecutive CY performance periods and not available for MIPS quality reporting by or on behalf of all MIPS eligible clinicians

We cannot conclude from this analysis that our policy to deny payment of the O/O E/M visit complexity add-on code when the O/O E/M base code is reported on the same day as a preventive immunization or other Medicare preventive service is disruptive to the way such care is usually furnished

Currently, when all NDCs assigned to a HCPCS code have negative or zero manufacturer's ASP data, CMS establishes the payment limit in other ways

[97] Table 23 displays payment amount estimates using the 2024 PFS Conversion Factor