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We propose to specify in paragraph (b) of 425.674 that for the purpose of the Shared Savings Program, improper payment includes: (1) an amount associated with a demanded overpayment determination, and (2) an amount identified in a settlement agreement or judgment, pursuant to conduct of individuals or entities performing functions or services related to an ACO's activities, less any penalties or damages

(ii) If ASP data is not available, then the payment limit is determined according to an average of the most recently published National Average Drug Acquisition Cost (NADAC) prices for the drug

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Regular cleanings and exams are vital in detecting early signs of gum disease, tooth decay, or oral cancer

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