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To provide CMS with greater flexibilities to be responsive to any errors or significant changes outside of the control of MIPS eligible clinicians that negatively impact the ability of specific cost measure(s) to assess clinician performance, we are proposing to add a new cost measure exclusion policy at 414.1380(b)(2)(v)(B) similar to the quality measure exclusion policy

Hookah This is a centuries-old way of smoking that uses a large glass pipe, often shared by multiple users in a hookah lounge or social gathering

Work by the agency to keep cancer-causing agents, like arsenic, benzene, perchloroethylene (PCE), and trichloroethylene (TCE) out of public land and drinking water is essential for overall public health and reduction of cancer rates (921)

While they may not have a direct effect on your lungs like cigarettes, they can cause a number of problems with your oral and overall health