19.02.2013
•
Views
CMS-1403-FC therapy is similar, and that the work relative values should be similar. Currently, CPT code 77432, Stereotactic radiation treatment management of cranial lesion(s) (complete course of treatment consisting of one session), with 7.92 work RVUs, is used by providers when managing certain pre- and post-delivery-related services of stereotactic radiation. CPT code 77432 includes treatment-related services of all cranial lesions during one session. We have been informed that CPT code 77421, Stereoscopic X-ray guidance for localization of target volume for the delivery of radiation therapy, with 0.39 work RVUs, often is used, in association with CPT code 77432, when appropriate. The specialty societies and the AMA RUC, in general, used open surgical codes as comparators during the RUC process. For example, for CPT code 61797, the comparison code was CPT code 63048, Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; each additional segment, cervical, thoracic, or lumbar (List separately in addition to code for primary procedure), instead of a more equivalent stereotactic radiation treatment code. 912
CMS-1403-FC Therefore, we disagree with the work RVUs for the following CPT codes: 61796, Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion; 61797, Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple; 61798, Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion; 61799, Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex; 63620, Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion; and 63621, Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion. We believe that the more appropriate comparison for the replacement codes for CPT code 61793 is with CPT codes 77432 plus 77421. The AMA RUC recommended that CPT codes 61796, 61798, and 63620 include a half-day discharge day and two 99213 office visits. We include those recommended values within our valuation of these services. Therefore, the new work values for these codes would be as follows: 10.79 work RVUs for CPT codes 61796, 61798, and 63620. For the add-on CPT codes 61797, 61799, and 63621, the specialty societies and the AMA RUC used open 913
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Page 1 and 2:
Notice: This CMS-approved document
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Page 3 and 4:
CMS-1403-FC 3 1. Electronically. Yo
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Page 5 and 6:
CMS-1403-FC 5 FOR FURTHER INFORMATI
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CMS-1403-FC 7 Trisha Brooks, (410)7
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Page 9 and 10:
CMS-1403-FC 9 ● The physician sel
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CMS-1403-FC 11 Schedule C. Malpract
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CMS-1403-FC 13 3. Beneficiary Signa
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CMS-1403-FC 15 A. Summary of Issues
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CMS-1403-FC 17 XIII. Waiver of Prop
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CMS-1403-FC 19 BBRA [Medicare, Medi
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CMS-1403-FC 21 E/M Evaluation and m
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CMS-1403-FC 23 MA-PD Medicare Advan
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CMS-1403-FC 25 OSCAR Online Survey
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CMS-1403-FC 27 WAMP Widely availabl
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CMS-1403-FC 29 2. Practice Expense
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CMS-1403-FC 31 extent practicable a
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CMS-1403-FC 33 AMA's Current Proced
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CMS-1403-FC 35 Payment = [(RVU work
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CMS-1403-FC 37 legislation, the PFS
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CMS-1403-FC that time, PE RVUs were
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CMS-1403-FC utilize a “bottom-up
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CMS-1403-FC ● All other expenses,
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CMS-1403-FC b. Allocation of PE to
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CMS-1403-FC combined survey data fr
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CMS-1403-FC for the global componen
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CMS-1403-FC equipment cost per minu
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CMS-1403-FC components), then the i
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CMS-1403-FC indirect PE for all PFS
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CMS-1403-FC • Physical therapy ut
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CMS-1403-FC TABLE 1: Calculation of
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CMS-1403-FC 2. PE Proposals for CY
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CMS-1403-FC The formula for estimat
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CMS-1403-FC arbitrary method for ch
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CMS-1403-FC We received no comments
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CMS-1403-FC (iv) Contractor Pricing
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CMS-1403-FC Response: We will ask t
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Code CMS-1403-FC 2008/9 Description
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CMS-1403-FC TABLE 4: Practice Expen
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CMS-1403-FC B. Geographic Practice
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CMS-1403-FC services, and are adjus
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CMS-1403-FC by at least 5 percent,
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CMS-1403-FC we decided not to proce
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CMS-1403-FC so as part of the CY 20
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CMS-1403-FC In the CY 2008 PFS fina
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CMS-1403-FC are available, we would
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CMS-1403-FC is no duplication of co
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CMS-1403-FC practitioner) at the di
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CMS-1403-FC PFS final rule with com
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CMS-1403-FC individual MNT (or any
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CMS-1403-FC Group DSMT (which compr
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CMS-1403-FC The acuity of a critica
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CMS-1403-FC needed regarding a crit
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CMS-1403-FC errors; enhanced patien
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CMS-1403-FC 99233). For CY 2006, we
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CMS-1403-FC follow-up inpatient con
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CMS-1403-FC As noted previously, CP
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CMS-1403-FC face-to-face encounter
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CMS-1403-FC visits requested by the
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CMS-1403-FC Follow-up inpatient tel
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CMS-1403-FC that were appropriate t
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CMS-1403-FC HCPCS codes 96150 throu
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CMS-1403-FC G0332). The Medicare pa
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CMS-1403-FC code G0332. For CY 2009
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CMS-1403-FC Response: The separate
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CMS-1403-FC preadministration-relat
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CMS-1403-FC pricing of IVIG and Med
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CMS-1403-FC CPT Code Short Descript
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CMS-1403-FC percent for the subsequ
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CMS-1403-FC in the same session, on
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CMS-1403-FC jeopardizes beneficiary
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CMS-1403-FC As discussed in the pro
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CMS-1403-FC Note: Under the PFS, CP
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CMS-1403-FC The methodology for dev
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CMS-1403-FC drugs furnished through
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CMS-1403-FC Response: We disagree w
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CMS-1403-FC available to support a
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CMS-1403-FC that there are complica
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CMS-1403-FC administered to a benef
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CMS-1403-FC as we assess potential
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CMS-1403-FC add a modifier to their
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CMS-1403-FC application of the AQ m
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CMS-1403-FC 0.7000. ● A reduction
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CMS-1403-FC so the CY 2009 base com
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CMS-1403-FC patient utilization gro
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CMS-1403-FC make those estimates. A
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CMS-1403-FC After removing the enro
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CMS-1403-FC For CY 2009, we propose
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CMS-1403-FC plain language over pol
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CMS-1403-FC four quarters of ASP pr
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CMS-1403-FC composite rates. The wa
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CMS-1403-FC from the figure in the
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CMS-1403-FC that our goal is the ev
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CMS-1403-FC the average wage index
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CMS-1403-FC Labor Statistics, to de
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CMS-1403-FC been previously deemed
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CMS-1403-FC CBSA where the campuses
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CMS-1403-FC composite rates during
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CMS-1403-FC target amount of compos
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CMS-1403-FC admission. That is, the
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CMS-1403-FC that CMS consider issue
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CMS-1403-FC hold the provider in wh
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CMS-1403-FC Comment: Commenters rai
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CMS-1403-FC who have enrolled in th
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CMS-1403-FC ● Posting IDTF standa
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CMS-1403-FC other diagnostic testin
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CMS-1403-FC entities furnishing mob
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CMS-1403-FC state Radioactive Mater
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CMS-1403-FC equipment and provide t
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CMS-1403-FC Response: We understand
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CMS-1403-FC believe that requiring
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CMS-1403-FC these claims will ensur
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CMS-1403-FC and NPP organizations,
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CMS-1403-FC prior to their enrollin
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CMS-1403-FC The date of approval is
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CMS-1403-FC organizations, and indi
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CMS-1403-FC To assist physician and
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CMS-1403-FC Comment: Several commen
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CMS-1403-FC date of filing and circ
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CMS-1403-FC services are complying
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CMS-1403-FC days when a Presidentia
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CMS-1403-FC effective date under ap
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CMS-1403-FC Comment: The suggestion
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CMS-1403-FC Response: We thank the
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CMS-1403-FC provider enrollment giv
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CMS-1403-FC instead, it will force
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CMS-1403-FC Response: As stated abo
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CMS-1403-FC Comment: One commenter
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CMS-1403-FC In an attempt to ensure
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CMS-1403-FC rule, rather than limit
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CMS-1403-FC changes have occurred,
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CMS-1403-FC Response: While we moni
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CMS-1403-FC records faster and more
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CMS-1403-FC In §424.521(a)(1), we
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CMS-1403-FC practitioners with the
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CMS-1403-FC In June 2002 and Novemb
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CMS-1403-FC full implementation sch
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CMS-1403-FC with billing agents, cl
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CMS-1403-FC 2. Medicare Billing Pri
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CMS-1403-FC The FPLP is a collectio
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CMS-1403-FC continued enrollment to
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CMS-1403-FC Federal Payment Levy Pr
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CMS-1403-FC Consistent with existin
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CMS-1403-FC facilitate the enrollme
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CMS-1403-FC determination. Specific
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CMS-1403-FC individual practitioner
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CMS-1403-FC determines in February
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CMS-1403-FC Management Manual (IOM
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CMS-1403-FC Response: Based on thes
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CMS-1403-FC or continues to meet th
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CMS-1403-FC to identify and discipl
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CMS-1403-FC Response: We disagree w
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CMS-1403-FC save our severe penalti
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CMS-1403-FC Response: We disagree w
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CMS-1403-FC affords the supplier ap
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CMS-1403-FC privileges and assess a
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CMS-1403-FC §424.535(a)(10) that w
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CMS-1403-FC documentation for 7 yea
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CMS-1403-FC pharmacies to follow re
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CMS-1403-FC Comment: One commenter
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CMS-1403-FC practitioners, includin
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CMS-1403-FC that require a revoked
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CMS-1403-FC provider and supplier e
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CMS-1403-FC K. Amendment to the Exe
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CMS-1403-FC Prescription Fill Statu
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CMS-1403-FC dispensers to move towa
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CMS-1403-FC Following the publicati
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CMS-1403-FC does not respond to the
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CMS-1403-FC facsimiles in all insta
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CMS-1403-FC Similarly, other commen
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CMS-1403-FC proposed rule's publica
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CMS-1403-FC elimination of the comp
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CMS-1403-FC exemption originally cr
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CMS-1403-FC dispensers are not requ
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CMS-1403-FC products, or, where upg
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CMS-1403-FC take time to develop, a
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CMS-1403-FC integrated this technol
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CMS-1403-FC Version 10.2 or higher)
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CMS-1403-FC proposed January 2009 c
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CMS-1403-FC L. Comprehensive Outpat
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CMS-1403-FC examination. In order t
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CMS-1403-FC qualifications for HHAs
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CMS-1403-FC distinction in the lice
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CMS-1403-FC (2) Have successfully c
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CMS-1403-FC risk-taking behaviors,
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CMS-1403-FC Therefore, we proposed
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CMS-1403-FC commenter stated that o
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CMS-1403-FC psychological services
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CMS-1403-FC 3. CORF Conditions of P
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CMS-1403-FC Therefore, we proposed
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CMS-1403-FC Therefore, we proposed
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CMS-1403-FC The following is a summ
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CMS-1403-FC We are not making any c
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CMS-1403-FC N. Physician Self-Refer
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CMS-1403-FC arrangements, and the l
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CMS-1403-FC below are related to ea
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CMS-1403-FC clinical practice. With
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CMS-1403-FC In the CY 2009 PFS prop
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CMS-1403-FC would be outside the sc
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CMS-1403-FC reflect objective quali
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CMS-1403-FC quality resulting from
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CMS-1403-FC payments should be reas
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CMS-1403-FC changes in referral pat
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CMS-1403-FC the alternative, we pro
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CMS-1403-FC finalize this condition
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CMS-1403-FC and “quality maintena
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CMS-1403-FC date. We seek comments
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CMS-1403-FC existing exceptions to
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CMS-1403-FC our general rulemaking
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CMS-1403-FC these approaches. We pr
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CMS-1403-FC building in which the b
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CMS-1403-FC were concerned that thi
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CMS-1403-FC supplier will be subjec
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CMS-1403-FC numerical test for the
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CMS-1403-FC space in which the orde
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CMS-1403-FC disadvantage nonproblem
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CMS-1403-FC would be simpler to not
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CMS-1403-FC IDTF standards in §410
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CMS-1403-FC that rule, the Governme
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CMS-1403-FC with comment period, th
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CMS-1403-FC 1842(n)(1) of the Act,
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CMS-1403-FC anti-markup provisions
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CMS-1403-FC her group practice woul
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CMS-1403-FC A commenter representin
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CMS-1403-FC tenens arrangements cou
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CMS-1403-FC other supplier. We are
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CMS-1403-FC on pathology reports or
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CMS-1403-FC patients. According to
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CMS-1403-FC from sharing a practice
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CMS-1403-FC Group A orders the TC a
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CMS-1403-FC physicians the flexibil
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CMS-1403-FC Response: We recognize
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CMS-1403-FC Response: Because the d
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CMS-1403-FC limited by the proposed
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CMS-1403-FC Response: With respect
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CMS-1403-FC to focus on the medical
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CMS-1403-FC service” approach bec
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CMS-1403-FC have the right to recei
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CMS-1403-FC 2 approach finalized he
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CMS-1403-FC the ordering physician
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CMS-1403-FC ensure an adequate nexu
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CMS-1403-FC entity” should be def
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CMS-1403-FC between the performing
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CMS-1403-FC supplier” to encompas
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CMS-1403-FC to continue to provide
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CMS-1403-FC requirements of the Alt
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CMS-1403-FC supervised in the offic
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CMS-1403-FC reducing access to care
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CMS-1403-FC commenter supported ado
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CMS-1403-FC “outside supplier,”
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CMS-1403-FC group could recover onl
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CMS-1403-FC incurred, thereby compe
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CMS-1403-FC needed to provide the t
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CMS-1403-FC performing supplier for
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CMS-1403-FC providers, the services
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CMS-1403-FC commenter also expresse
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CMS-1403-FC overutilization of in-o
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CMS-1403-FC provisions for single-s
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CMS-1403-FC we did not propose such
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CMS-1403-FC and PCs supervised or p
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CMS-1403-FC provisions will not app
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CMS-1403-FC (Pub. L. 110-173) (MMSE
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CMS-1403-FC reporting data on quali
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Page 525 and 526:
CMS-1403-FC PQRI and a more detaile
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CMS-1403-FC and our responses to th
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CMS-1403-FC provisions of the Priva
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CMS-1403-FC reducing eligible profe
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CMS-1403-FC administrative or judic
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CMS-1403-FC professionals who did n
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CMS-1403-FC base the incentive paym
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CMS-1403-FC A few commenters noted
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CMS-1403-FC administrative burden t
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CMS-1403-FC requested that more det
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CMS-1403-FC incentive payments for
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CMS-1403-FC December 31, 2009 and J
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CMS-1403-FC the reporting period fo
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CMS-1403-FC proposed to carry forwa
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CMS-1403-FC measures group is appli
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CMS-1403-FC measures results and nu
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CMS-1403-FC (Delmarva Foundation fo
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Page 559 and 560:
CMS-1403-FC registries to report on
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CMS-1403-FC reporting options for r
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CMS-1403-FC incentive payment for P
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CMS-1403-FC to report 2009 PQRI qua
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CMS-1403-FC Comment: We received nu
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CMS-1403-FC Comment: One comment su
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Page 571 and 572:
CMS-1403-FC quality measures result
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CMS-1403-FC requirements listed on
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CMS-1403-FC a data submission vendo
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CMS-1403-FC As we stated in the CY
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CMS-1403-FC whether eligible profes
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CMS-1403-FC ● Agree that the regi
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CMS-1403-FC soon thereafter as is t
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CMS-1403-FC Comment: We received ma
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CMS-1403-FC Comment: One commenter
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CMS-1403-FC additional 2.0 percent
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Page 591 and 592:
CMS-1403-FC EHRs in 2009. The measu
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CMS-1403-FC i. Overview and Summary
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Page 595 and 596:
CMS-1403-FC voluntary consensus sta
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Page 597 and 598:
CMS-1403-FC Comment: Several commen
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CMS-1403-FC the AMA-PCPI should be
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CMS-1403-FC are appropriate and do
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CMS-1403-FC to make any changes to
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CMS-1403-FC post the measures for p
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CMS-1403-FC beneficiaries. We now h
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CMS-1403-FC identified in Tables 15
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CMS-1403-FC important difference in
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CMS-1403-FC not use Measures #73 Ca
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CMS-1403-FC measures, but which are
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CMS-1403-FC with comment period. Ho
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CMS-1403-FC ● Measure #41 Osteopo
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CMS-1403-FC professional to simply
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CMS-1403-FC measures. We consider t
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CMS-1403-FC Measure Number and Titl
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CMS-1403-FC Measure Number and Titl
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Page 629 and 630:
CMS-1403-FC ● Measure #120 CKD: A
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Page 631 and 632:
CMS-1403-FC For the 2009 PQRI quali
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CMS-1403-FC rule indicated that the
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Page 635 and 636:
CMS-1403-FC Response: As suggested
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CMS-1403-FC required for the measur
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CMS-1403-FC ● Achievement of NQF
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CMS-1403-FC These additional measur
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CMS-1403-FC We did not include this
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CMS-1403-FC Comment: Many commenter
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CMS-1403-FC groups must have a part
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CMS-1403-FC selected for inclusion
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CMS-1403-FC Measure Title Measure S
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CMS-1403-FC proposed HIV/AIDS measu
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CMS-1403-FC set of denominator spec
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CMS-1403-FC results, for this purpo
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CMS-1403-FC informed decision-makin
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CMS-1403-FC Comment: Several commen
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Page 663 and 664:
CMS-1403-FC prior commitments that
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CMS-1403-FC groups who successfully
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CMS-1403-FC ● Eligible profession
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CMS-1403-FC patients, families, and
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CMS-1403-FC that have satisfactoril
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CMS-1403-FC e-prescribing quality m
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CMS-1403-FC Douglas S. and Friedman
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CMS-1403-FC subsequent year, if the
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Page 679 and 680:
CMS-1403-FC eligible professional f
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Page 681 and 682:
CMS-1403-FC and is included in the
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Page 683 and 684:
CMS-1403-FC The measure becomes app
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Page 685 and 686:
CMS-1403-FC is, Measure #125) appli
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Page 687 and 688:
CMS-1403-FC outpatient setting. Whi
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Page 689 and 690:
CMS-1403-FC ability of an electroni
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Page 691 and 692:
CMS-1403-FC October 2005 (hereinaft
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Page 693 and 694:
CMS-1403-FC We are aware that there
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CMS-1403-FC provided during the enc
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Page 697 and 698:
CMS-1403-FC denominator of a measur
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Page 699 and 700:
CMS-1403-FC cases. If the is determ
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Page 701 and 702:
CMS-1403-FC during 2009; and (3) wh
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Page 703 and 704:
CMS-1403-FC on this quality measure
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Page 705 and 706:
CMS-1403-FC become effective until
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Page 707 and 708:
CMS-1403-FC and CY 2007 PFS final r
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Page 709 and 710:
CMS-1403-FC directly affected by th
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Page 711 and 712:
CMS-1403-FC requires advanced pract
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Page 713 and 714:
CMS-1403-FC applaud CMS for recogni
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Page 715 and 716:
CMS-1403-FC standardization of DNP
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Page 717 and 718:
CMS-1403-FC for the most part, been
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Page 719 and 720:
CMS-1403-FC that the requirement fo
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CMS-1403-FC degree in radiologic te
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CMS-1403-FC the physicians that fur
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CMS-1403-FC is associated with a te
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CMS-1403-FC facility in which a tec
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CMS-1403-FC by the Medicare program
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CMS-1403-FC pressure (CPAP)” and
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CMS-1403-FC for example chronic obs
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CMS-1403-FC thus they believe leadi
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Page 737 and 738:
CMS-1403-FC Excepting attended faci
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Page 739 and 740:
CMS-1403-FC supplier separately. Ho
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Page 741 and 742:
CMS-1403-FC final rule’s provisio
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CMS-1403-FC as a DME supplier and p
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CMS-1403-FC Moreover, given our gen
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CMS-1403-FC resources and infrastru
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CMS-1403-FC Comment: Several commen
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CMS-1403-FC organization through a
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CMS-1403-FC After reviewing the pub
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CMS-1403-FC the nonparticipating ho
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CMS-1403-FC be costly and burdensom
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CMS-1403-FC adopting our proposal t
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CMS-1403-FC We are not persuaded to
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CMS-1403-FC §424.36(b)(6)(ii)(C)(2
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Page 765 and 766:
CMS-1403-FC be made to obtain the s
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Page 767 and 768:
CMS-1403-FC willing to sign at the
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Page 769 and 770:
CMS-1403-FC and not suppliers, may
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Page 771 and 772:
CMS-1403-FC crew member would have
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Page 773 and 774:
CMS-1403-FC In order to determine f
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Page 775 and 776:
CMS-1403-FC retrieval of the variou
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Page 777 and 778:
CMS-1403-FC plan that demonstrates
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Page 779 and 780:
CMS-1403-FC conviction, license sus
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Page 781 and 782:
CMS-1403-FC The following is a summ
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Page 783 and 784:
CMS-1403-FC faith reduces the time
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Page 785 and 786:
CMS-1403-FC suspension or revocatio
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Page 787 and 788:
CMS-1403-FC 9 percent per year. 2 I
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Page 789 and 790:
CMS-1403-FC magnetic resonance imag
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Page 791 and 792:
CMS-1403-FC Committee for Quality A
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Page 793 and 794:
CMS-1403-FC measures in CMS’ VBP
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Page 795 and 796:
CMS-1403-FC the Boston program site
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Page 797 and 798:
CMS-1403-FC conditions that are hig
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Page 799 and 800:
CMS-1403-FC reports? ● Do physici
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Page 801 and 802:
CMS-1403-FC most Evaluation and Man
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Page 803 and 804:
CMS-1403-FC III. Medicare Improveme
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Page 805 and 806:
CMS-1403-FC Specifically, section 1
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Page 807 and 808:
CMS-1403-FC period. The public will
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Page 809 and 810:
CMS-1403-FC Section 101(b) of the M
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Page 811 and 812:
CMS-1403-FC 1 year after the effect
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Page 813 and 814:
CMS-1403-FC applies to both adult m
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Page 815 and 816:
CMS-1403-FC period is limited to th
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Page 817 and 818:
CMS-1403-FC 2007 through 2010. In a
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Page 819 and 820:
CMS-1403-FC Section 1848(m)(3)(D) o
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Page 821 and 822:
CMS-1403-FC In addition to the prov
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Page 823 and 824:
CMS-1403-FC during the 2009 and 201
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Page 825 and 826:
CMS-1403-FC prescribers for 2009 ar
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Page 827 and 828:
CMS-1403-FC requirement by making a
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Page 829 and 830:
CMS-1403-FC continue to bill the Me
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Page 831 and 832:
CMS-1403-FC therapy and speech-lang
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Page 833 and 834:
CMS-1403-FC ● Section 1835(a) of
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Page 835 and 836:
CMS-1403-FC The amendments made by
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Page 837 and 838:
CMS-1403-FC national associations a
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Page 839 and 840:
CMS-1403-FC On November 9, 2006, we
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Page 841 and 842:
CMS-1403-FC our regulations states
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Page 843 and 844:
CMS-1403-FC rental period. The supp
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Page 845 and 846:
CMS-1403-FC reasonable useful lifet
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Page 847 and 848:
CMS-1403-FC to use the equipment be
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Page 849 and 850:
CMS-1403-FC oxygen contents after t
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Page 851 and 852:
CMS-1403-FC the oxygen contents and
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Page 853 and 854:
CMS-1403-FC Section 414.210(e)(2) a
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Page 855 and 856:
CMS-1403-FC reported to us that, ba
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Page 857 and 858:
CMS-1403-FC non-routine maintenance
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Page 859 and 860:
CMS-1403-FC As a result, we will ma
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Page 861 and 862:
CMS-1403-FC 31, 2009 amounts for gr
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Page 863 and 864:
CMS-1403-FC under section 332(a)(1)
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Page 865 and 866:
CMS-1403-FC furnishing services via
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Page 867 and 868:
CMS-1403-FC required to furnish dir
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Page 869 and 870:
CMS-1403-FC mental health services
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Page 871 and 872:
CMS-1403-FC Skilled Nursing Facilit
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Page 873 and 874:
CMS-1403-FC where the SNF resident
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Page 875 and 876:
CMS-1403-FC describes the methodolo
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Page 877 and 878:
CMS-1403-FC The RUC has created the
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Page 879 and 880:
CMS-1403-FC Response: Although we r
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Page 881 and 882:
CMS-1403-FC occurring code pairs. T
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Page 883 and 884:
CMS-1403-FC a standing panel of exp
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Page 885 and 886:
CMS-1403-FC extraction of the assoc
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Page 887 and 888:
CMS-1403-FC TABLE 26: AMA RUC Recom
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Page 889 and 890:
CMS-1403-FC AMA RUC Rec Site of Ser
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Page 891 and 892:
CMS-1403-FC AMA RUC Rec Site of Ser
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Page 893 and 894:
CMS-1403-FC AMA RUC Rec Site of Ser
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Page 895 and 896:
CMS-1403-FC Note: The RUC reviewed
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Page 897 and 898:
CMS-1403-FC C. Interim 2008 Codes 1
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Page 899 and 900:
CMS-1403-FC national noncoverage de
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Page 901 and 902:
CMS-1403-FC CPT codes for 2008. In
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Page 903 and 904:
CMS-1403-FC associated work RVUs, t
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Page 905 and 906:
CMS-1403-FC CPT 1 AMA RUC Work RVU
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Page 907 and 908:
CMS-1403-FC # New CPT code. 1 All C
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Page 909 and 910:
CMS-1403-FC ● 27218, Open treatme
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Page 911:
CMS-1403-FC RVUs for G0412; 15.73 w
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Page 915 and 916:
CMS-1403-FC generally contractor pr
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Page 917 and 918:
CMS-1403-FC In addition, we believe
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Page 919 and 920:
CMS-1403-FC RVU for CPT code 93289
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Page 921 and 922:
CMS-1403-FC time to better understa
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Page 923 and 924:
CMS-1403-FC ● 93306, Echocardiogr
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Page 925 and 926:
CMS-1403-FC Although not discussed
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Page 927 and 928:
CMS-1403-FC for New and Revised 200
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Page 929 and 930:
CMS-1403-FC item. In addition, the
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Page 931 and 932:
CMS-1403-FC 90956, 90957, 90958, 90
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Page 933 and 934:
CMS-1403-FC place of these two new
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Page 935 and 936:
CMS-1403-FC beneficiary or any othe
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Page 937 and 938:
CMS-1403-FC ● Adding the followin
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Page 939 and 940:
CMS-1403-FC Tables 29 and 30 also i
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Page 941 and 942:
CMS-1403-FC RADIOLOGY AND CERTAIN O
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Page 943 and 944:
CMS-1403-FC 93320 Doppler echo exam
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Page 945 and 946:
CMS-1403-FC index data, that the hi
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Page 947 and 948:
CMS-1403-FC TABLE 32: Increase in t
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Page 949 and 950:
CMS-1403-FC C. The Update Adjustmen
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Page 951 and 952:
CMS-1403-FC end of the prior year a
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Page 953 and 954:
CMS-1403-FC CY 2009, the statute re
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Page 955 and 956:
CMS-1403-FC Actual08 = Estimated Ac
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Page 957 and 958:
CMS-1403-FC 1848(f)(3)(C)(i) of the
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Page 959 and 960:
CMS-1403-FC ● Screening mammograp
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Page 961 and 962:
CMS-1403-FC payments while promotin
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Page 963 and 964:
CMS-1403-FC E. Final Sustainable Gr
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Page 965 and 966:
CMS-1403-FC included in the SGR (us
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Page 967 and 968:
CMS-1403-FC that this figure will c
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Page 969 and 970:
CMS-1403-FC physicians' services in
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Page 971 and 972:
CMS-1403-FC imaging services, the M
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Page 973 and 974:
CMS-1403-FC CY 2007. Table 42 illus
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Page 975 and 976:
CMS-1403-FC year to the entire year
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Page 977 and 978:
CMS-1403-FC the CF. Therefore, this
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Page 979 and 980:
CMS-1403-FC estimate that CY 2009 R
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Page 981 and 982:
CMS-1403-FC Table 44: Calculation o
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Page 983 and 984:
CMS-1403-FC XI. Payment for Certain
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Page 985 and 986:
CMS-1403-FC In the Competitive Acqu
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Page 987 and 988:
CMS-1403-FC glasses, hand magnifier
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Page 989 and 990:
CMS-1403-FC Our interpretation of t
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Page 991 and 992:
CMS-1403-FC Response: We understand
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Page 993 and 994:
CMS-1403-FC defines “eyeglass”
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Page 995 and 996:
CMS-1403-FC this statutory exclusio
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Page 997 and 998:
CMS-1403-FC advances in the use of
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Page 999 and 1000:
CMS-1403-FC is paid for his or her
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Page 1001 and 1002:
CMS-1403-FC XII. Provisions of the
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Page 1003 and 1004:
CMS-1403-FC these RUC recommendatio
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Page 1005 and 1006:
CMS-1403-FC services. We believe a
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Page 1007 and 1008:
CMS-1403-FC Section 144(b) of the M
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Page 1009 and 1010:
CMS-1403-FC rulemaking with respect
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Page 1011 and 1012:
CMS-1403-FC (respectively) of this
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Page 1013 and 1014:
CMS-1403-FC completing and submitti
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Page 1015 and 1016:
CMS-1403-FC §424.516(d)(1). Additi
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Page 1017 and 1018:
CMS-1403-FC to several associated i
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Page 1019 and 1020:
CMS-1403-FC incentive payment for 2
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Page 1021 and 1022:
CMS-1403-FC year of PQRI reporting)
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Page 1023 and 1024:
CMS-1403-FC Based on the assumption
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Page 1025 and 1026:
CMS-1403-FC these activities for th
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Page 1027 and 1028:
CMS-1403-FC per hour, we estimate t
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Page 1029 and 1030:
CMS-1403-FC Because of the large nu
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Page 1031 and 1032:
CMS-1403-FC threshold, and hence al
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Page 1033 and 1034:
CMS-1403-FC shoes, the regulation i
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Page 1035 and 1036:
CMS-1403-FC with comment period for
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Page 1037 and 1038:
CMS-1403-FC substance of State laws
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Page 1039 and 1040:
CMS-1403-FC $20 million from what e
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Page 1041 and 1042:
CMS-1403-FC ● Impact of Work RVU
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Page 1043 and 1044:
CMS-1403-FC imaging services from t
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Page 1045 and 1046:
CMS-1403-FC ● Impact of section 1
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Page 1047 and 1048:
CMS-1403-FC management, could have
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Page 1049 and 1050:
CMS-1403-FC Table 50 illustrates, f
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Page 1051 and 1052:
CMS-1403-FC CPT/ HCPCS Mod Descript
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Page 1053 and 1054:
CMS-1403-FC impact associated with
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Page 1055 and 1056:
CMS-1403-FC The fourth column shows
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Page 1057 and 1058:
CMS-1403-FC the CY 2007 claims. The
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Page 1059 and 1060:
CMS-1403-FC 1059 4/This column show
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Page 1061 and 1062:
CMS-1403-FC requirements is to allo
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Page 1063 and 1064:
CMS-1403-FC This amendment of the e
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Page 1065 and 1066:
CMS-1403-FC 4 minutes per call, lab
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Page 1067 and 1068:
CMS-1403-FC e-prescribing and who m
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Page 1069 and 1070:
CMS-1403-FC anti-markup provisions
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Page 1071 and 1072:
CMS-1403-FC approximately $50 per h
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Page 1073 and 1074:
CMS-1403-FC e-prescribing measure i
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Page 1075 and 1076:
CMS-1403-FC we estimate that each e
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Page 1077 and 1078:
CMS-1403-FC P. Prohibition Concerni
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Page 1079 and 1080:
CMS-1403-FC that provides a calcula
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Page 1081 and 1082:
CMS-1403-FC treatment) that occur a
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Page 1083 and 1084:
CMS-1403-FC locality (+5.37 percent
-
Page 1085 and 1086:
CMS-1403-FC additional rental payme
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Page 1087 and 1088:
CMS-1403-FC T. Competitive Acquisit
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Page 1089 and 1090:
CMS-1403-FC Program; II.T. Electron
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Page 1091 and 1092:
CMS-1403-FC which means that in 200
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Page 1093 and 1094:
CMS-1403-FC List of Subjects 42 CFR
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Page 1095 and 1096:
CMS-1403-FC For the reasons set for
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Page 1097 and 1098:
CMS-1403-FC (1) Except as specified
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Page 1099 and 1100:
CMS-1403-FC pressure, a visual acui
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Page 1101 and 1102:
CMS-1403-FC (ii) A speech-language
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Page 1103 and 1104:
CMS-1403-FC during the hours that t
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Page 1105 and 1106:
CMS-1403-FC (i) Be certified as a n
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Page 1107 and 1108:
CMS-1403-FC 14. Section 410.155 is
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Page 1109 and 1110:
CMS-1403-FC prostate cancer screeni
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Page 1111 and 1112:
CMS-1403-FC B. Amending the definit
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Page 1113 and 1114:
CMS-1403-FC The revisions and addit
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Page 1115 and 1116:
CMS-1403-FC or institution other th
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Page 1117 and 1118:
CMS-1403-FC substantially all (whic
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Page 1119 and 1120:
CMS-1403-FC psychiatric diagnostic
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Page 1121 and 1122:
CMS-1403-FC repairing, maintaining,
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Page 1123 and 1124:
CMS-1403-FC B. Deleting paragraph (
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Page 1125 and 1126:
CMS-1403-FC during any period of me
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Page 1127 and 1128:
CMS-1403-FC (c)(1). A. Revising the
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Page 1129 and 1130:
CMS-1403-FC * * * * * (b) * * * (2)
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Page 1131 and 1132:
CMS-1403-FC assigned to such drug p
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Page 1133 and 1134:
CMS-1403-FC 33. In §415.130(d), th
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Page 1135 and 1136:
CMS-1403-FC (6) An ambulance provid
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Page 1137 and 1138:
CMS-1403-FC §424.57 Special paymen
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Page 1139 and 1140:
CMS-1403-FC Final adverse action me
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Page 1141 and 1142:
CMS-1403-FC (b) Reporting requireme
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Page 1143 and 1144:
CMS-1403-FC of Medicare billing pri
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Page 1145 and 1146:
CMS-1403-FC (a) Physicians, nonphys
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Page 1147 and 1148:
CMS-1403-FC * * * * * (g) Effective
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Page 1149 and 1150:
CMS-1403-FC that meet the qualifica
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Page 1151 and 1152:
CMS-1403-FC (3) Have equivalent tra
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Page 1153 and 1154:
CMS-1403-FC §485.711 Condition of
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Page 1155 and 1156:
CMS-1403-FC Subpart C--Conditions f
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Page 1157 and 1158:
CMS-1403-FC Authority: Catalog of F
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Page 1159 and 1160:
CMS-1403-FC Addendum B means that C
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Page 1161 and 1162:
CMS-1403-FC which they are incident
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Page 1163 and 1164:
CMS-1403-FC T = There are RVUs for
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Page 1165 and 1166:
CMS-1403-FC ADDENDUM B: Relative Va
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Page 1167 and 1168:
CMS-1403-FC Physi- cian Work Fully
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Page 1169 and 1170:
CMS-1403-FC Physi- cian Work Fully
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Page 1171 and 1172:
CMS-1403-FC Physi- cian Work Fully
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Page 1173 and 1174:
CMS-1403-FC Physi- cian Work Fully
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Page 1175 and 1176:
CMS-1403-FC Physi- cian Work Fully
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Page 1177 and 1178:
CMS-1403-FC Physi- cian Work Fully
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Page 1179 and 1180:
CMS-1403-FC Physi- cian Work Fully
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Page 1181 and 1182:
CMS-1403-FC Physi- cian Work Fully
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Page 1183 and 1184:
CMS-1403-FC Physi- cian Work Fully
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Page 1185 and 1186:
CMS-1403-FC Physi- cian Work Fully
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Page 1187 and 1188:
CMS-1403-FC Physi- cian Work Fully
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Page 1189 and 1190:
CMS-1403-FC Physi- cian Work Fully
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Page 1191 and 1192:
CMS-1403-FC Physi- cian Work Fully
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Page 1193 and 1194:
CMS-1403-FC Physi- cian Work Fully
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Page 1195 and 1196:
CMS-1403-FC Physi- cian Work Fully
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Page 1197 and 1198:
CMS-1403-FC Physi- cian Work Fully
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Page 1199 and 1200:
CMS-1403-FC Physi- cian Work Fully
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Page 1201 and 1202:
CMS-1403-FC Physi- cian Work Fully
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Page 1203 and 1204:
CMS-1403-FC Physi- cian Work Fully
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Page 1205 and 1206:
CMS-1403-FC Physi- cian Work Fully
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Page 1207 and 1208:
CMS-1403-FC Physi- cian Work Fully
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Page 1209 and 1210:
CMS-1403-FC Physi- cian Work Fully
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Page 1211 and 1212:
CMS-1403-FC Physi- cian Work Fully
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Page 1213 and 1214:
CMS-1403-FC Physi- cian Work Fully
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Page 1215 and 1216:
CMS-1403-FC Physi- cian Work Fully
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Page 1217 and 1218:
CMS-1403-FC Physi- cian Work Fully
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Page 1219 and 1220:
CMS-1403-FC Physi- cian Work Fully
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Page 1221 and 1222:
CMS-1403-FC Physi- cian Work Fully
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Page 1223 and 1224:
CMS-1403-FC Physi- cian Work Fully
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Page 1225 and 1226:
CMS-1403-FC Physi- cian Work Fully
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Page 1227 and 1228:
CMS-1403-FC Physi- cian Work Fully
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Page 1229 and 1230:
CMS-1403-FC Physi- cian Work Fully
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Page 1231 and 1232:
CMS-1403-FC Physi- cian Work Fully
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Page 1233 and 1234:
CMS-1403-FC Physi- cian Work Fully
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Page 1235 and 1236:
CMS-1403-FC Physi- cian Work Fully
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Page 1237 and 1238:
CMS-1403-FC Physi- cian Work Fully
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Page 1239 and 1240:
CMS-1403-FC Physi- cian Work Fully
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Page 1241 and 1242:
CMS-1403-FC Physi- cian Work Fully
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Page 1243 and 1244:
CMS-1403-FC Physi- cian Work Fully
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Page 1245 and 1246:
CMS-1403-FC Physi- cian Work Fully
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Page 1247 and 1248:
CMS-1403-FC Physi- cian Work Fully
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Page 1249 and 1250:
CMS-1403-FC Physi- cian Work Fully
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Page 1251 and 1252:
CMS-1403-FC Physi- cian Work Fully
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Page 1253 and 1254:
CMS-1403-FC Physi- cian Work Fully
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Page 1255 and 1256:
CMS-1403-FC Physi- cian Work Fully
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Page 1257 and 1258:
CMS-1403-FC Physi- cian Work Fully
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Page 1259 and 1260:
CMS-1403-FC Physi- cian Work Fully
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Page 1261 and 1262:
CMS-1403-FC Physi- cian Work Fully
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Page 1263 and 1264:
CMS-1403-FC Physi- cian Work Fully
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Page 1265 and 1266:
CMS-1403-FC Physi- cian Work Fully
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Page 1267 and 1268:
CMS-1403-FC Physi- cian Work Fully
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Page 1269 and 1270:
CMS-1403-FC Physi- cian Work Fully
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Page 1271 and 1272:
CMS-1403-FC Physi- cian Work Fully
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Page 1273 and 1274:
CMS-1403-FC Physi- cian Work Fully
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Page 1275 and 1276:
CMS-1403-FC Physi- cian Work Fully
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Page 1277 and 1278:
CMS-1403-FC Physi- cian Work Fully
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Page 1279 and 1280:
CMS-1403-FC Physi- cian Work Fully
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