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We are estimating a utilization of approximately 300,000 claims for the proposed HCPCS code GPCM1, 1.3 million claims for the proposed HCPCS code GPCM2, and 400,000 claims for the proposed HCPCS code GPCM3, and are seeking comment on our assumptions

To adjust Medicare Parts A and B fee-for-service expenditures for improper payments CMS does the following: (1) Identify each Shared Savings Program expenditure calculation for a performance year or benchmark year, as calculated according to the standard methodology described in this subpart and expressed as a per capita dollar amount, that will be adjusted for the impact of improper payments

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Irregular heartbeat or palpitations occur

In this proposed rule, we are proposing to include injectable drugs with a labeled volume of 2 mL or less and that lack the package type terms and explicit discard statements in their product labeling to be single-dose containers in the definition of refundable single-dose container or single-use package drugs

Therefore, the Partial QP thresholds for payment year 2026 (performance period 2024) will remain at 40 percent for the payment amount method and 25 percent for the patient count method