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Active use of the hand with activities, such as writing, opening jars, lifting a child, hammering, sports, and any workplace or home activity that involves pinching or grasping with the thumb, can provoke the symptoms of pain, stiffness, and weakness

Shared Savings Program ACOs will be required to report the APP Plus quality measure set beginning with the CY 2025 performance period/2027 MIPS payment year

While such inconsistency does not preclude the from establishing a payment limit calculation for circumstances not described in section 1847A of the Act, the calculation are finalizing earlier in this section aligns more closely with the methodology described in section 1847A(b)(8)(A) of the Act and other calculations finalized in this final rule for payment limits for drugs for which negative or zero ASP data are reported for all NDCs