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ICRs Regarding Quality Data Submission ( 414.1318, 414.1325, 414.1335, and 414.1365) (1) Background We refer readers to the CY 2017 and CY 2018 Quality Payment Program final rules (81 FR 77502 and 77503 and 82 FR 53908 through 53912, respectively), the CY 2019, CY 2020, CY 2021, CY 2022, CY 2023, and CY 2024 PFS final rules (83 FR 60000 through 60003, 84 FR 63121 through 63124, 85 FR 84970 through 84974, 86 FR 65576 through 65588, 87 FR 70145 through 70154, and 88 FR 79434 through 79442, respectively) for our previously finalized estimated burden associated with data submission for the quality performance category

As a general rule, we propose to specify in paragraph (a) of 425.674, that upon the reopening of an initial determination pursuant to 425.315(a)(4), CMS will use the methodology set forth in 425.674 to account for the impact of improper payments when: (1) determining savings or losses for the relevant performance year in accordance with 425.315 in order to issue a revised initial determination, and (2) adjusting the benchmark by recalculating benchmark year expenditures in the event that we recalculate a payment determination and issue a revised initial determination for the corresponding performance year in a prior agreement period (as discussed in section III.G.7.c.(2).(d) of this proposed rule)

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One of the exclusion criteria in the survey was multiple product usage every day, e.g., e-cigarettes and snus

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