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The MIPS payment adjustment factor is determined on a linear sliding scale from zero to 100, with zero being the lowest possible score which receives the negative applicable percentage and resulting in the lowest payment adjustment, and 100 being the highest possible score which receives the highest positive applicable percentage and resulting in the highest payment adjustment

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Whether vaccines, and particularly adjuvanted (killed) vaccines, are more likely to induce FISS than other injections remains unclear, but because adjuvants promote local inflammation, they may have a role in tumorigenesis and WSAVA vaccination guidelines state non-adjuvanted vaccines should be administered to cats wherever possible (Day et al, 2016)