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We determined that an ESRD beneficiary, who was otherwise eligible for assignment to an entity participating in the CEC model, could benefit from the focused attention on and increased care coordination for their ESRD available under the CEC model

and (2) the calculation of the penalty amount

CMS, at its sole discretion, may determine that the billing of one or more specified HCPCS or CPT codes represents significant, anomalous, and highly suspect billing activity for a calendar year that warrants adjustment to calculations made under this part

This allows chemicals such as nicotine to directly enter your blood stream

The 30-day notice appeared in the Federal Register on June 3, 2024 (89 FR 47563)