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According to the nominator, even a slight deviation of 1-2 millimeters during the sampling procedure can result in accidental puncture of these critical blood vessels or other nearby structures

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The clinical evidence supports that the medically necessary dental care may similarly advance the clinical success of dialysis services in the treatment of ESRD because an oral or dental infection can present substantial risk to the success and outcomes of these procedures (including the risk of systemic infection, BSI, sepsis, and death)

As described in more detail below, we are proposing to incorporate as elements of APCM services Management of Care Transitions and Enhanced Communications Opportunities. For the Management of Care Transitions APCM service element, we are proposing to specify timely follow-up during care transitions (see section II.G.2.c.(6) of this proposed rule)

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