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If we estimate that the improper payments have impacted the dollar amount of earned shared savings, or the amount of shared losses that the ACO owes or has paid to CMS, we anticipate reopening an ACO's payment determination

We are also not proposing any modifications to the language currently at 414.1380(b)(2)(i), generally governing if and how CMS determines a cost measure's benchmark

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PMID 10639511

The submitter noted that we finalized that payment can be made for certain dental services prior to or contemporaneously with chemotherapy, CAR T-Cell therapy, and the administration of high-dose bone-modifying agents (anti-resorptive therapy), when used in the treatment of cancer

What existing and/or additional coding may currently describe these types of services