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Therefore, we estimated that the total cost of reviewing this regulation is 21,677,265 ($984.48 22,019 reviewers on this year's proposed rule)

[109] Specifically, we have learned through Innovation Center initiatives that retrospective reconciliation or adjustment of payments for services rendered can be especially frustrating for practitioners, as it reduces the predictability and stability of payments

Secondhand smoke exposure in workplaces

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With the MSR and MLR adjustments finalized in the December 2018 final rule, we developed protections against issues with the benchmark calculation for ACOs with fewer assigned beneficiaries, which provide adequate protection against variability in the short term