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Specifically, we propose that a qualifying data submission for the Promoting Interoperability performance category must include all the following elements: (1) performance data, including any claim of an applicable exclusion, for the measures in each objective, as specified by CMS

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What criteria are used to determine whether the provision of these services may be medically reasonable and necessary

While its possible to alter and tamper with samples from urine screens, its not easy to do so with mouth swabs since they may be conducted on-site