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If e-cigarette product use is suspected as a possible cause for a patients lung disease, a detailed history of the substances used, the sources, and the devices used should be obtained, as outlined in the Health Alert Network (HAN), and efforts should be made to determine if any remaining product, devices, and liquids are available for testing

Moreover, because the reconciled rebate amount is an adjustment to the prior rebate amount, CMS proposes at 427.501(d)(1)(i)(F) for the report of a reconciled rebate amount to also identify the difference between the rebate amount due as specified on ( the Rebate Report set forth in 427.501(c) and the reconciled rebate amount

* * * * * (v) * * * (B) Beginning with the 2027 MIPS payment year, if data used to calculate a score for a cost measure are impacted by significant changes or errors affecting the performance period, such that ( calculating the cost measure score would lead to misleading or inaccurate results, then the affected cost measure is excluded from the MIPS eligible clinician's or group's cost performance category score