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Pipe Used: MM County Gentleman, MM Hardwood Age When Smoked: Fresh pouch 11 people found this review helpful

While some of these services are covered in some form by Traditional Medicare, prepaid shared savings funding reserved for direct beneficiary services would only be permitted to be used for those services if the version of the service offered by the ACO is not currently covered by Traditional Medicare and there is a reasonable expectation that those services will improve or maintain the health or overall function of ACO beneficiaries

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(4) Calculation of total Medicare Parts A and B fee-for-service revenue of ACO participants and total Medicare Parts A and B fee-for-service expenditures for the ACO's assigned beneficiaries for purposes of identifying whether an ACO is a high revenue ACO or low revenue ACO, as defined under 425.20, determining an ACO's eligibility to receive advance investment payments according to 425.630, and determining whether an ACO qualifies for a shared savings payment under 425.605(h)