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However, there is no outcomes-based evidence to support this recommendation

To ensure that higher scores reflected a better outcome, the raw data for the appearance and symptom scales were scored as follows: not at all = 4, a little = 3, quite a bit = 2, and very much = 1

IbrahimSHHirsovaPTomitaKBronkSFWerneburgNWHarrisonSAet al

Several commenters stated their belief that problems with the cost performance category started with the CY 2022 performance period/2024 MIPS payment year, when CMS began to score the category once again following the COVID-19 pandemic and the cost performance category weight increased ( to 30 percent