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Tobacco Is Classified as High-Risk Card networks and acquiring banks classify tobacco retailers as high-risk merchants, primarily under Merchant Category Code 5993 (Cigar Stores and Stands)

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As noted in section 1848(q)(5)(C)(ii) of the Act, a MIPS eligible clinician in an APM for a performance period automatically earns a minimum score of one half of the highest potential score for the MIPS Improvement activities category for their participation in an APM for the performance period