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One commenter noted that a designated code for SPI would make it significantly easier to document that SPI was furnished, including in quality reporting and value-based payment programs

For the Enhanced Communications Opportunities APCM service element, we are proposing to incorporate digital access through CTBS services, such as virtual check-ins and remote evaluation of images, to maintain ongoing communication with the patient (see section II.G.2.c.(8) of this proposed rule)

The proposal would incrementally incorporate into the APP Plus measure set the Universal Foundation measures that are not already included in the APP measure set beginning in the CY 2025 performance period/2027 MIPS payment year

These effects are often mild and will wear off with time