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In a pilot project for CMS conducted by the Urban Institute in 2016, [42] which compared data obtained from electronic health records and direct observation, the ratios of fee schedule time to empirical time were often inflated, with the largest discrepancies in imaging and other test interpretations

The second new improvement activity, IA_PM_28, titled Integrating Oral Health Care in Primary Care, will allow MIPS eligible clinicians to include an oral health risk assessment and intraoral screening in primary care, educate patients on the importance of oral health, and provide counseling on its impact on systemic diseases

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