In accordance with 410.63(c)(1), a clotting factor furnishing fee is not payable when the costs associated with furnishing a clotting factor are paid through another payment system
The proposed adjustments would remove improper payments from the performance year expenditures and factors used to calculate updated historical benchmarks, among other financial calculations, that resulted in inaccuracies in an ACO's payment determination, including the amount of shared savings CMS paid an ACO or the amount of shared losses owed to CMS by an ACO participating under a two-sided model
Participant Providers and those Preferred Providers that have elected to participate in the ACO's selected capitation payment mechanism continue to submit claims to CMS for services provided to aligned beneficiaries
In addition, we quantified the strength of evidence associating chewing tobacco with five additional outcomes to evaluate potentially incorporating these outcomes into the comparative risk assessment framework used by GBD to estimate the annual disease burden attributable to chewing tobacco
One possibility: the Bureau of Arson, Explosives and Firearms, or A.E.F