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Section 425.655 is amended by revising paragraph (d)(2) to read as follows: Calculating the regional risk score growth cap adjustment factor
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(1) CMS will calculate the AnMP for a Part D rebatable drug as the sum of the following: (i) The product of (A) The AMP for the Part D rebatable drug reported for the calendar quarter beginning October of the applicable period
You can usually find payer policies by searching online for the specific code and payer or logging into the payers provider portal, which will have a list of all the medical policies with reimbursement guidelines
But instead of the bullet I've seen ballplayers emit, I let loose a messy, chin-dribbling drool
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