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For instance, in learning of improper payments that may potentially impact Shared Savings Program calculations for multiple ACOs, including through the reopening request process, we may seek to reopen payment determinations where improper payments are anticipated to result in significant adjustments to ACOs' initial determinations upon recalculation

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100-578), revised section 353 of the Public Health Service Act to require all clinical laboratories that test human specimens for health purposes to meet certain requirements

These claims would initially be paid like other Part B vaccine and vaccine administration claims, whose payments are discussed at section III.H.1