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Based on our experiences reviewing MRFs since finalizing the CY 2024 OPPS/ASC final rule with comment period, we have observed factors included in algorithms such as, but not limited to: weights based on resources required, mix of services provided within an episode of care, and thresholds or caps on the overall price of services billed within an episode of care
This combination is highly scrutinized for its capacity to accelerate the proliferation of capillaries into ischemic or avascular tissue zones
Addendum J to this final rule with comment period includes the cost statistics for each code combination that was evaluated for a complexity adjustment
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