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As discussed in section III.G.7.c of this proposed rule, CMS may reopen an initial determination or a final agency determination and issue a revised initial determination at any time in the case of fraud or similar fault, and not later than 4 years after the date of the notification to the ACO of the initial determination of savings or losses for the relevant performance year for good cause ( 425.315)

Tobacco use disorder ICD-9-CM: 305.1 Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent

Exposure to substances like nicotine creates a reward mechanism

Pouches hold fine cut or snuff tobacco in a small, teabag-like pouch

To quit dipping tobacco, answer the question, "why are you going to quit?" And then, after you answer it, ask yourself, Why is that important? There is a magic number in this process