For example, if an ACO received $300,000 in prepaid shared savings payments and earned shared savings of $500,000 for the first performance year, we would recoup $300,000 in prepaid shared savings payments and make $200,000 in reconciliation shared savings payments to the ACO
CMS therefore proposes to use this well-established process for civil money penalty appeals from manufacturers that do not make inflation rebate payments by the payment deadline
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Background Currently, there are approximately 4,100 physicians' services that are coded and valued under the PFS as global surgical packages (herein global packages)