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There are over 1 million physicians, other practitioners, and medical suppliers that receive Medicare payment under the PFS

(d) New MIPS ICRs The following changes will be submitted to OMB for approval under control number 0938-1314 (CMS-10621)

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In addition, when the published payment limit is not available, using 106 percent of ASP or 106 percent of WAC to calculate the payment amount in the payment amount benchmark quarter may not be appropriate in instances where the payment limit is based on a different amount, such as in the case of Part B rebatable drugs that are biosimilars for which the add-on amount reflects the payment amount for the reference biological product (as set forth in section 1847A(b)(8) of the Act)

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