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++ Establish a calculation methodology to account for the impact of improper payments in recalculating expenditures and payment amounts used in Shared Savings Program financial calculations upon reopening a payment determination pursuant to 425.315(a) (section III.G.7.c of this proposed rule)
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Spittoons are flat-bottomed, often weighted to minimize tipping over, and often with an interior "lip" to make spilling less likely if they tip
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