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Doses above 50 mcg become impractical from a 0.1 mg vial switch to a 1 mg vial

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We believe that starting with a level of downside risk already familiar to many ASM participants who previously participated in MIPS would be appropriate given that the application of ASM payment adjustment factors would be applied to Medicare Part B claims for covered professional services (as discussed earlier in this section of this final rule) in a similar fashion as MIPS as defined at 414.1405(e)

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