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Primary Causes Conditions that often cause ear pain and originate within the ear include the following: Otitis Media Otitis media describes a middle ear infection in which fluid and inflamed tissue builds up in the middle ear spacethe area between your eardrum (tympanic membrane) and the oval window of your inner ear

Step 5Determine adjusted regional expenditures: If applicable, we would do the following to adjust regional expenditures for improper payments (as proposed in 425.674(c)(5)): ++ Step 5(i): Adjust county-level FFS expenditures determined in Step 4, for each county in the ACO's regional service area, for severity and case mix of assignable beneficiaries in the county using prospective HCC risk scores

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