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This RFI describes a series of goals and principles for the Promoting Interoperability performance category's Public Health and Clinical Data Exchange objective, provides information about recommended updates to health IT certification criteria under consideration that may impact MIPS eligible clinicians, and seeks public comment on potential updates that could help achieve these goals

Because the dark fire-cured leaves rest stationary against oral tissues for 30-45 minutes, systemic nicotine absorption remains highly elevated

This could result in more application of, and therefore more impact on spending from the appropriate usage of the transfer of care modifiers (modifiers -54, -55, and -56)

However, we decided they would not be appropriate for measuring future clinician performance given the impact of the COVID-19 PHE on data for MIPS, as described below

Chewing tobacco contains more nicotine than cigarettes