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For example, the PCMP TEP discussed general challenges in developing chronic condition episode-based measures and ways that the chronic condition framework can address those challenges, provided feedback on the attribution rules (that is, the algorithms and the types of codes used in each algorithm) that would demonstrate a relationship between a clinician group and a patient with a chronic condition(s), and discussed service assignment, risk adjustment, and exclusions, which support the overall development of episode-based measures, including, but not limited to those episode-based measures being proposed in this rulemaking
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These interested parties report that therapists make exhaustive efforts to obtain the physician/NPP's signaturesome reporting that they contact physician offices (via phone, email, or fax, etc.) more than 30 times
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