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While Brighthouse is independent of MetLife, MetLife is Brighthouses largest shareholder

(g) Methodology To Estimate the MIPS Payment Adjustment For the baseline and proposed policies RIA models, we applied the hierarchy as finalized in the CY 2022 PFS final rule (86 FR 65536 through 65537) to determine which final score should be used for the payment adjustment for each MIPS eligible clinician when more than one final score is available

So yes, some people pass simply because the test wasnt very sensitive or the collection was flawed

We continue to hear from some practitioners that our non-payment of the O/O E/M visit complexity add-on code when the O/O E/M base code is reported on the same day as a preventive immunization or other Medicare preventive service is disruptive to the way such care is usually furnished and contrary to our policy objective for establishing the add-on payment