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To encourage continuous quality improvement, what adjustment may CMS apply to QM threshold every 6 months? Increase threshold by 2 5 % for the overall

To encourage continuous quality improvement, what adjustment may CMS apply to QM threshold every 6 months?
Increase threshold by 25% for the overall QM star rating.
Increase threshold by 25% of the average rate of improvement for each Five-Star QM.
Increase the threshold by 50% of the facilities improvement for each Five-Star QM.
Increase threshold by 50% of the average rate of improvement in long-stay, short-stay and the overall QM star rating.
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