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or the 35 percent of the difference between the average per capita amount of expenditures for the ACO's regional service area and the average per capita amount of the ACO's rebased historical benchmark if the ACO is determined to have higher spending than the ACO's regional service area ( 425.656(e)(3)(ii))

(a) * * * (2) Direct supervision means, except as provided in paragraphs (a)(2)(i) and (ii) of this section, the level of supervision by the physician (or other practitioner) of auxiliary personnel as defined in 410.32(b)(3)(ii)

Because these procedures are similar in intensity and both require precise placement of an intraurethral device, we concur with the RUC and we are proposing the RUC recommended work RVU of 3.10 for CPT code 5XX05

JuarezPDMatthews-JuarezPHoodDImWLevineRKilbourneBet al

Here we see that death rates from smoking are much higher in people older than 70 years old, followed by those aged 50 to 69

These conditions, which we use to attribute a cost measure to MIPS eligible clinicians, also apply to the attribution methodology at the clinician group level