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the commenter requested that CMS no longer include these refinements in the table published each year

The CTS themselves need to be congruent with the treatment plan and designed to effectuate the desired patient outcomes

We acknowledge that, even with a robust inventory of MVPs, there may be some clinicians who cannot submit an applicable MVP, as currently structured, due to lack of measures to build a respective MVP or lack of measure case counts or specialization that does not allow reporting of MVP quality measures and calculation of a cost measure

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