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Cigarette Butt Cleanup Costs Baltimore City officials indicates it spends over $32 million each year to collect upwards of 2,600 tons of litter, including an estimated $5.3 million strictly on cigarette filter litter

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To codify the existing process for multiple data submissions for the quality and improvement activities performance categories, we are proposing to add at 414.1325(f)(1) that for multiple data submissions received in the quality and improvement activities performance categories in accordance with paragraphs (a)(1)(i) and (ii) for an individual MIPS eligible clinician, group, subgroup, or virtual group from submitters in multiple organizations (for example, qualified registry, practice administrator, or EHR vendor), CMS will calculate and score each submission received and assign the highest of the scores