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198 CBSA Code Urban Area Wage (Constituent Counties) Index 31420 Amherst County, VA Appomattox County, VA Bedford County, VA Campbell County, VA Bedford City, VA Lynchburg City, VA Macon, GA Bibb County, GA Crawford County, GA Jones County, GA Monroe County, GA 0.9671 31460 31540 31700 31900 32420 32580 32780 32820 Twiggs County, GA Madera, CA 0.8922 Madera County, CA Madison, WI 1.0880 Columbia County, WI Dane County, WI Iowa County, WI Manchester-Nashua, NH 1.0573 Hillsborough County, NH Merrimack County, NH Mansfield, OH 0.9092 Richland County, OH Mayagüez, PR 0.8696 Hormigueros Municipio, PR Mayagüez Municipio, PR McAllen-Edinburg-Pharr, TX 0.9149 Hidalgo County, TX Medford, OR 1.0471 Jackson County, OR Memphis, TN-MS-AR 0.9556 Crittenden County, AR DeSoto County, MS Marshall County, MS Tate County, MS Tunica County, MS Fayette County, TN Shelby County, TN Tipton County, TN 32900 Merced, CA 1.1376
199 CBSA Code Urban Area Wage (Constituent Counties) Index 33124 Merced County, CA Miami-Miami Beach-Kendall, FL Miami-Dade County, FL 0.9984 33140 Michigan City-La Porte, IN LaPorte County, IN 0.9626 33260 Midland, TX Midland County, TX 0.9742 33340 Milwaukee-Waukesha-West Allis, WI Milwaukee County, WI Ozaukee County, WI Washington County, WI 1.0339 33460 33540 33660 33700 33740 33780 33860 Waukesha County, WI Minneapolis-St. Paul-Bloomington, MN-WI 1.1333 Anoka County, MN Carver County, MN Chisago County, MN Dakota County, MN Hennepin County, MN Isanti County, MN Ramsey County, MN Scott County, MN Sherburne County, MN Washington County, MN Wright County, MN Pierce County, WI St. Croix County, WI Missoula, MT 0.9700 Missoula County, MT Mobile, AL 0.8696 Mobile County, AL Modesto, CA 1.2076 Stanislaus County, CA Monroe, LA 0.8696 Ouachita Parish, LA Union Parish, LA Monroe, MI 0.9696 Monroe County, MI Montgomery, AL 0.8786 Autauga County, AL Elmore County, AL
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DEPARTMENT OF HEALTH AND HUMAN SERV
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2. By mail. You may mail written co
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Rick Ensor (410) 786-5617 (for issu
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service of the U.S. Government Prin
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4. Proposed Revisions to §413.170
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AGA American Gastroenterological As
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GAO General Accounting Office GPCI
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PLI Professional liability insuranc
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Initially, only the physician work
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This resource-based system was base
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effect in 1997, published on Novemb
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● Revised requirements for superv
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efinement of work RVUs; and solicit
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historical allowed charges. This le
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November 1, 2001 (66 FR 55246).) Th
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The CPEPs identified specific input
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codes that the RUC has not yet revi
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procedure: $27,305,408. In this exa
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as a whole. Indirect costs include
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● The unscaled indirect expense a
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BNF is applied to (multiplied by) t
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NPWP Step 2--Calculation of Charge-
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In Table 11, the scaled total direc
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TABLE 13--Budget Neutrality and Fin
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The following discussion outlines t
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exist, and suggests that the need f
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TABLE 14--Practice Expense Per Hour
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We believe that we have consistentl
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Due to the ongoing refinement by th
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indirect PE methodology is inaccura
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multi-specialty PEAC that were base
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the needed survey or other data or
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PERC/RUC recommendations for these
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eflect the typical number of cast c
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on comments received and additional
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We have reviewed the PE database an
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the ACR. We have accepted the follo
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● Clinical Labor for G-codes Rela
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proposed associated prices that we
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Supply Code Supply Description Unit
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● Supply and Equipment Items Need
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Code 2005 Description Unit Unit Pri
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Code 2005 Description Price EQ212 p
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Effective January 1, 2006, this pro
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challenge the validity of a new loc
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ones reconfigured). Yet we also rec
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The issue of payment locality desig
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specialties listed infrequently as
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for premium rating purposes. ISO co
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psychology to the nonsurgical risk
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to anesthesiology which is 2.84 rat
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103 However, as noted previously in
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● Category #1: Services that are
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G0270, G0271 and 97802 through 9780
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Group Medical Nutritional Therapy (
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111 furnished in the group setting
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CMS Review 113 As noted previously,
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system that permits the physician a
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117 associated with the provided se
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119 overlapping surgeries, the teac
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anesthesia programs that have arran
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123 Section 623 of the MMA also req
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125 hospital-based facilities; whil
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127 The next step would be to devel
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Drugs Second Quarter ASP +6 Percent
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131 independent facilities, to acco
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133
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distributed this over a total proje
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137 additional 0.7 percent addition
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139 billed drugs regardless of sett
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141 than 0.9000 are paid more than
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adoption of the new hospital wage i
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of geographic designations for purp
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and they may or may not be suitable
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the Medicare Geographic Classificat
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(2) Metropolitan Divisions Under OM
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153 applying revised composite paym
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ased on the labor components establ
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157 actual cost structure faced by
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159 ESRD facilities is 53.711, as s
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from the cost reports. To avoid dou
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from Worksheet A. The resulting mar
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(1) Hospital Data Used In this prop
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wage data ended. However, since the
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approach to phasing-in the proposed
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facilities that would receive lower
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173 wage index values and then simu
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175 Because Neighborhood Dialysis C
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177 detected through our receipt of
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179 CBSA Code Urban Area Wage (Cons
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181 CBSA Code Urban Area Wage (Cons
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183 CBSA Code Urban Area Wage (Cons
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185 CBSA Code Urban Area Wage (Cons
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187 CBSA Code Urban Area Wage (Cons
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189 CBSA Code Urban Area Wage (Cons
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191 CBSA Code Urban Area Wage (Cons
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193 CBSA Code Urban Area Wage (Cons
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195 CBSA Code Urban Area Wage (Cons
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197 CBSA Code Urban Area Wage (Cons
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201 CBSA Code Urban Area Wage (Cons
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203 CBSA Code Urban Area Wage (Cons
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205 CBSA Code Urban Area Wage (Cons
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207 CBSA Code Urban Area Wage (Cons
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209 CBSA Code Urban Area Wage (Cons
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211 CBSA Code Urban Area Wage (Cons
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213 CBSA Code Urban Area Wage (Cons
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215 CBSA Code Urban Area Wage (Cons
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TABLE 28--Proposed ESRD Wage Index
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● Extraordinary circumstances (§
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effect as long as the rate exceeds
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● Adding a definition of a “ped
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exception rate. The facility would
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their intermediaries. Current parag
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229 costs are reasonable and allowa
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231 revised paragraph, a facility w
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H. Payment for Covered Outpatient D
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calculation. We also discuss the su
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customers (for example, physicians)
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239 We believe the weighted average
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number of 11-digit NDCs sold for ea
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243 included in the template, it is
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current reporting format is an appr
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247 section 1847A of the Act for th
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each quarter at the following web s
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251 We also note MedPAC’s recomme
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costs and units. We seek comments a
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255 pays for DME and associated sup
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pharmacy activities required to get
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259 representing 42 percent of the
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261 basic pharmacy services such as
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seek comment on the potential impac
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265 overpaying for the costs associ
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267 and information about how pharm
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269 takes good faith efforts to res
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271 Specifically, we consider that
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supplies. Using billing data, we id
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70481 CT orbit/ear/fossa w/ dye 704
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K. Therapy Cap 73223 MRI joint uppe
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provided for an active subluxation
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is less than 2 percent of spending
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(2) entities determined by the Secr
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285 We are proposing a supplemental
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FQHC claim form to effectuate the b
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289 can issue a final determination
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291 conclude that Hispanic persons
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293 nuclear medicine services in ei
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adiopharmaceuticals. In the final r
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297 (including Nuclear Medicine and
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we would resolve any doubt on the m
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facility payment rather than a TC c
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ventures and leases, pose a risk of
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305 Underlying the projected rate r
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decisions are central to the health
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however. We are particularly intere
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The collection requirement in this
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eporting requirements are discussed
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IV. Response to Comments Because of
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achieve the objectives with less si
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319 The analysis and discussion pro
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321 for a new code may change becau
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323 TABLE 30--Impact of Practice Ex
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hour for these specialties. As note
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Both physical/occupational therapy
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329 proposing to add cardiology cat
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Speciality Impact of Removing Aberr
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Family TABLE 32--Impact of Multiple
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335 column includes the current est
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Specialty Medicare Allowed Charges
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339 Non-Facility Facility % % HCPCS
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341 have undertaken a similar analy
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of the updated GPCI data. For the R
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C. Medicare Telehealth Services In
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347 TABLE 37--Impact of Proposed Ch
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349 of the increase to the drug add
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plus current AAP priced drug paymen
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353 the center up to what it would
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satisfies the requirements of the i
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357 certainty the extent of these s
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delivery arrangements and would hel
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List of Subjects 42 CFR Part 405 Ad
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(including by refunding amounts in
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(2) Any financial incentives provid
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7. The authority citation for part
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* * * * * PART 413--PRINCIPLES OF R
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371 D. Redesignating paragraphs (l)
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373 (3) The additional nursing hour
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cost components relating to trainin
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CAPD and CCPD) when the facility ac
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Indirect Sales means from the manuf
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amount for the quarter to the neare
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383 25. The heading for Part 426 is
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385 (Catalog of Federal Domestic As
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1. CPT/HCPCS code. This is the CPT
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grace period. This indicator is no
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5. Physician work RVUs. These are t
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ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 671 and 672:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 673 and 674:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 675 and 676:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 677 and 678:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 679 and 680:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 681 and 682:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 683 and 684:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 685 and 686:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 687 and 688:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 689 and 690:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 691 and 692:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 693 and 694:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 695 and 696:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 697 and 698:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 699 and 700:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 701 and 702:
ADDENDUM B: RELATIVE VALUE UNITS (R
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Page 703 and 704:
CPT Code Short Descriptors 21480 Re
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Page 705 and 706:
CPT Code Short Descriptors 92284 Da
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Page 707 and 708:
Addendum D 2006 GEOGRAPHIC PRACTICE
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Page 709 and 710:
Carrier Locality Locality name Work
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Page 711 and 712:
Carrier Locality Locality Name 2006
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Page 713 and 714:
Addendum F ESRD FACILITIES- METROPO
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Page 715 and 716:
715 SSA State/County Code County an
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Page 717 and 718:
717 SSA State/County Code County an
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Page 719 and 720:
719 SSA State/County Code County an
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Page 721 and 722:
721 SSA State/County Code County an
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Page 723 and 724:
723 SSA State/County Code County an
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Page 725 and 726:
725 SSA State/County Code County an
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Page 727 and 728:
727 SSA State/County Code County an
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Page 729 and 730:
729 SSA State/County Code County an
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Page 731 and 732:
731 SSA State/County Code County an
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Page 733 and 734:
733 SSA State/County Code County an
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Page 735 and 736:
735 SSA State/County Code County an
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Page 737 and 738:
737 SSA State/County Code County an
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Page 739 and 740:
739 SSA State/County Code County an
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Page 741 and 742:
741 SSA State/County Code County an
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Page 743 and 744:
743 SSA State/County Code County an
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Page 745 and 746:
745 SSA State/County Code County an
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Page 747 and 748:
747 SSA State/County Code County an
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Page 749 and 750:
749 SSA State/County Code County an
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Page 751 and 752:
751 SSA State/County Code County an
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Page 753 and 754:
753 SSA State/County Code County an
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Page 755 and 756:
755 SSA State/County Code County an
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Page 757 and 758:
757 SSA State/County Code County an
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Page 759 and 760:
759 SSA State/County Code County an
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Page 761 and 762:
761 SSA State/County Code County an
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Page 763 and 764:
763 SSA State/County Code County an
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Page 765 and 766:
765 SSA State/County Code County an
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Page 767 and 768:
767 SSA State/County Code County an
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Page 769 and 770:
769 SSA State/County Code County an
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Page 771 and 772:
771 SSA State/County Code County an
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Page 773 and 774:
773 SSA State/County Code County an
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Page 775 and 776:
775 SSA State/County Code County an
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Page 777 and 778:
CPT/HCPCS Codes MOD DESCRIPTION STA
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Page 779 and 780:
CPT/HCPCS Codes MOD DESCRIPTION STA
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Page 781 and 782:
CPT/HCPCS Codes MOD DESCRIPTION STA
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Page 783 and 784:
CPT/HCPCS Codes MOD DESCRIPTION STA
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Page 785 and 786:
CPT/HCPCS Codes MOD DESCRIPTION STA
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Page 787:
CPT/HCPCS Codes MOD DESCRIPTION STA
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