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We do not simulate the removal of quality measures described in section IV.A.4.e.(1)(d)(ii) since we cannot predict how clinician behavior and measure selection would change in response

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Therefore, for RHCs and FQHCs, we added CPT code 99491 as a general care management service and included it in the calculation of HCPCS code G0511

[178] Per the American Academy of Family Physicians, individuals with ESRD are typically referred to nephrologists for the development of treatment plans

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