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In the following paragraphs, we discuss these proposed policies and our rationale for maintaining the currently approved burden for the submission of Promoting Interoperability data requirements

We track each beneficiary's incurred expenses for therapy services annually and count them towards the KX modifier and MR thresholds by applying the PFS rate for each service less any applicable MPPR amount for services of CMS-designated always therapy services (see the CY 2011 PFS final rule at 75 FR 73236)

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In recent years, CMS has implemented significant changes aimed at better capturing the resources required for care management services, including chronic care management (CCM), principal care management (PCM), and transitional care management (TCM) and more recently, community health integration (CHI), principal illness navigation (PIN) and PIN-peer support services