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In the CY 2017 Quality Payment Program final rule (81 FR 77136 through 77137), we established the following criteria for measure removal to include: If the Secretary determines that the MIPS quality measure is no longer meaningful, such as MIPS quality measures that are topped out

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Therefore, we finalized a revised methodology for the calculation of HCPCS code G0511 by looking at the actual utilization of the services

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We are proposing an incremental approach whereby we will adopt without any time limitation the definition of direct supervision ( permitting virtual presence for services that are inherently lower risk: that is, services that do not ordinarily require the presence of the billing practitioner, do not require direction by the supervising practitioner to the same degree as other services furnished under direct supervision, and are not services typically performed directly by the supervising practitioner