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Medical and Dental Visits Furnished on the Same Day If an RHC or FQHC patient has a medically-necessary face-to-face visit with an RHC or FQHC practitioner, and is then seen by another RHC or FQHC practitioner, including a specialist, for further evaluation of the same condition on the same day, or is then seen by another RHC or FQHC practitioner, including a specialist, for evaluation of a different condition on the same day, the multiple encounters would constitute a single RHC or FQHC visit and be payable as one visit regardless of the length or complexity of the visit, whether the second visit is a scheduled or unscheduled appointment, or whether the first visit is related or unrelated to the subsequent visit

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For the CY 2026 and 2027 performance periods/2028 and 2029 MIPS payment years, clinicians reporting the proposed APP Plus quality measure set would need to actively submit quality performance category data for the same number of quality measures as clinicians participating in traditional MIPS (six measures)

We are considering exploring statutory flexibilities that could help address future challenges related to a lack of an applicable MVP for some clinicians

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