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We additionally acknowledge that coding already exists under the PFS that accounts for the resources involved in conducting these types of assessments

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We propose under 425.640(g)(3) that if an ACO has an outstanding balance of prepaid shared savings after the calculation of shared savings or losses for the final performance year of an agreement period in which an ACO receives prepaid shared savings, the ACO must repay any outstanding amount of prepaid shared savings it received in full upon request from CMS

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