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We are adding a new paragraph (a)(5)(ii)(A) to 425.512 to indicate that an ACO will meet the alternative quality performance standard for performance year 2024 if the ACO reports quality data on the APP quality measure set established under 414.1367 according to the method of submission established by CMS and achieves a quality performance score equivalent to or higher than the 10th percentile of the performance benchmark on at least one of the four outcome measures in the APP quality measure set

11-20 minutes of medical consultative discussion and review ), GIPC3 ( Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner

For existing QCDRs that submit QCDR measures as part of their self-nomination application, we estimate that it will take 11.98 hours [0.5 hr for the simplified self-nomination process + (14 QCDR measures 0.82 hr/measure for QCDR measure submission)] for a QCDR to submit an application under the simplified self-nomination process

This Adalya shisha tobacco creates a satisfying smoke during long sessions