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When calculating the weighted average growth in demographic risk scores or prospective HCC risk scores, as applicable, the weight applied to the growth in risk scores (expressed as a ratio of the ACO's performance year risk score to the ACO's BY3 risk score) for each Medicare enrollment type is equal to the product of the ACO's historical benchmark expenditures, adjusted in accordance with 425.652(a)(8), for that enrollment type and the ACO's performance year assigned beneficiary person years for that enrollment type

[371] Frequent travel to an OTP also disproportionately impacts rural residents who already face lower odds of finding an OTP in their area, and therefore, must spend nearly 2-5 times the amount of average drive time to access the closest OTP compared to their urban counterparts

We also note again that the RUC recommended the survey 25th percentile work RVU for CPT codes 4X015, 4X016, and 4X017

Reporting and Returning of Overpayments (81 FR 7654) (hereinafter referred to as the Parts A and B Overpayment Final Rule), which provided, among other things, that a provider or supplier has identified an overpayment when the provider or supplier has determined, or should have determined through the exercise of reasonable diligence, that the provider or supplier has received an overpayment and quantified the amount of the overpayment