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However, because reopening will not be limited to adjusting performance year and benchmark year expenditures for ACO assigned beneficiaries but will also impact other potentially offsetting calculations including regional and national expenditure trends used to update ACO benchmarks, and because, in addition to the reopening, CMS will also adjust the historical benchmark calculated for a potential subsequent ( agreement period, the frequency of requests, and the net impact of any given request, are likely to be limited

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We also solicited comments from interested parties across provider types and from practitioners in geographically isolated communities (for example, rural, tribal, and island communities) and otherwise underserved communities about coding Z codes on claims associated with billing for CHI, PIN, and SDOH risk assessment codes

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