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She was staring at a stack of denied claims, frustrated because a simple injection service was being rejected repeatedly

It is primarily found in animal-based products such as meat, fish, eggs, and dairy

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Response: We interpret both comments as suggesting that CMS perform two versions of Shared Savings Program calculationsone that makes adjustments for SAHS billing activity and one that does notand then issuing initial determinations based on the version of the calculations that would result in an ACO maximizing their shared savings or minimizing their shared losses for the performance year