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[454 455] The policy changes to the Shared Savings Program finalized in the CY 2023 PFS final rule (87 FR 69777 through 69979) and CY 2024 PFS final rule (88 FR 79093 through 79232) are expected to grow participation in the program and increase the number of beneficiaries assigned to ACOs by up to four million in the next 10 years (that is, between 2024-2034)

When the presenting problem for the encounter is for tobacco use the diagnosis should be completely documented with a treatment plan e.g., a cessation program.img1Documentation considerationsDetermine current and past consumptionCigarettesChewing tobaccoPipeNicotine gumE-cigarettesPassive tobacco exposureHistorical tobacco use (how many packs

and 2s.7d., will still be available to smokers

This subtlety makes it harder to spot, giving teens an edge when trying to hide their habit