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For applicable calendar quarters beginning on or after January 1, 2024, these billing units will be excluded as part of the reconciliation process described at 427.501(d)

However, consistent/prolonged factor replacement can cause antibody inhibitor development

(E) If an ACO is eligible to receive a prior savings adjustment and the regional adjustment, expressed as a single value as described in 425.656(d), is negative or zero, the ACO will receive an adjustment to its benchmark equal to the prior savings adjustment

We considered whether to account for the possibility that the improper payment amounts would be appealed, and the amount redetermined, as part the proposed methodology, but are not proposing a related approach at this time

Historically, when we received RUC recommendations, our process had been to establish interim final RVUs for the potentially misvalued codes, new codes, and any other codes for which there were coding changes in the final rule with comment period for a year