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To illustrate a potential high impact estimate scenario, the affected utilization from 2023 was doubled relative to the observed data

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We refer readers to section IV.A.4.f.(1)(d) for discussion of proposals for scoring the cost performance category

[109] Specifically, we have learned through Innovation Center initiatives that retrospective reconciliation or adjustment of payments for services rendered can be especially frustrating for practitioners, as it reduces the predictability and stability of payments

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