CMS Guidelines for Sale. Adam Harris, M.D.

7/31/2019 CMS Guidelines for Sale. Adam Harris, M.D.

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O`oe F) Bo||fw# E)@)Woi Oiphifh H|pbh~`fg W~agfocfwpw

Wopq|`ov# Hgphla| # ?


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\oe~oip fi pba ea`fgoc cfpa|op|a `aw~fpa `fwgchw|aw



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@h vh gbagj pba mi`fid wh|gaw hm pba opbh|w8



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@h vh gbagj pba mi`fid wh|gaw hm pba opbh|w8 Fm ihp# vh wbhc`

Wopq|`ov# Hgphla| # ?w# pbav}a laai `fgpopfid bht

a}a|vlh`v acwa wbhc` |i pbaf| ~|ogpfga

Lafid mof|; A`fpfhi 6 hm pba df`aw "


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Oea|fgoi Ghccada hm Gbawp ^bvwfgfoiw Wfiga pba ef` ?62>w# pbav}a laai `fgpopfid bht

a}a|vlh`v acwa wbhc` |i pbaf| ~|ogpfga

Lafid mof|; A`fpfhi 6 hm pba df`aw "! m|aa hm lfow



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Pba WGF^ Pagbifgoc Ar~a|p ôiac "PA^& |adco|cv|a}fatw |aca}oip dfàcfiaw oi` bow àpa|efia` fidaia|oc pbop hicv o gboida tfpb Ca}ac F

|agheeaiòpfhiw thc` ommagp pba WGF^ ~a|mh|eoigaeaow|aw) Pba g||aip eaow|a w~agfmfgopfhi mh| ]PA

~|a}aipfhi o|a lowa` hi Ca}ac FO |agheeaiòpfhiw)

Pbop pba|a o|a IH g||aip Ca}ac F |agheeaiòpfhiw`haw ihp waae ph lhpba| pba GEW



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Wh fp fw ocwh tfpb pba Dh}a|ieaip



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\acaowa` >2



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\acaowa` >2 Wbh|pcv ompa| pba OOHW |acaowa` pbaf| df`acfiaw



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Oi H|pbh~`fg W|dahi do}a pba mhcchtfid ~|awaipopfhihi @]P ~|h~bvcorfw;



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Tow pba wp`v tacc `awfdia`(aragpa`8



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@h pba |awcpw kwpfmv pba ghigcwfhiw(|agheeai`opfhiw8



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@h pba |awcpw kwpfmv pba ghigcwfhiw(|agheeai`opfhiw8 O|a pba |awcpw(|agheeai`opfhiw |aca}oip ph vh|

~|ogpfga8



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@hip poja ev th|` mh| fp# `hvh| hti |awao|gb



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Waod|hopp# Poi# Dhcòg|a# Acagpf}a phpoc bf~ |a~cogeaip;figfàiga# aea|daigv |aoèfwwfhi |opa# oi`~hwph~a|opf}a eh|pocfpv LEK ?66?: 7>7;?07?%?071

??#=>4 oèfwwfhiw: ompa| argcwfhiw# 4104 PBO~opfaipw h~a|opa` fi Aidcoi`



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W|da|v laptaai ?64= oi` ?621



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W|da|v laptaai ?64= oi` ?621 Ih eaipfhi hm ~|h~bvcorfw# fm oiv

?621Ta hicv ja~p ~ah~ca fi la` mh| 7 `ovw



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W|da|v laptaai ?64= oi` ?621 Ih eaipfhi hm ~|h~bvcorfw# fm oiv

?621Ta hicv ja~p ~ah~ca fi la` mh| 7 òvw

Pbop tow ghiwfà|a` odd|awwf}a/Wopq|òv# Hgphla| # ?> ~opfaipw < ~opfaipw fi pba ~cogalh d|h~ oi` < fi pba p|aopeaip

d|h~ bo` wfdifmfgoip lcaa`fid a~fwhàw

? fi pba ~cogalh d|h~# `fa` hm ghe~cfgopfhiw m|heba~o|fi ompa| o `fodihwfw hm @]P "o`|aioc baeh||boda&

"@hawip pba OGG^ lacfppca weocc wp`faw acwatba|a8&



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^cogalh d|h~ bo` 0! hlwa|}a` eokh| lcaa`fid Fw pbfw wpopfwpfgoccv `fmma|aip m|he >!8



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^cogalh d|h~ bo` 0! hlwa|}a` eokh| lcaa`fid Fw pbfw wpopfwpfgoccv `fmma|aip m|he >!8 61! ghimf`aiga fipa|}oc ph argc`a >!



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oc~bo 5 >)>1



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oc~bo 5 >)>1 Iaa` 40 ~opfaipw



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oc~bo 5 >)>1 Iaa` 40 ~opfaipw Pba|amh|a# tfpb 1> ~opfaipw# 0! fw ihp `fmma|aip m|he >!



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Eokh| Lcaa`fid \aoc \opa Woe~ca Wf{a iaa`a`

>! 40

>)1! ?06

?! ?6> ~opfaipw Wfefco| ~|hphghcw# eoiv d|h~w



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Hicv 1> fi pba ~cogalh d|h~/



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Hicv 1> fi pba ~cogalh d|h~/ Hia hm pba lcaa`fid `aopbw tow m|he oi o`|aioc

baeh||boda ?? `ovw ~hwp h~)



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Lowa` hi fipaip ph p|aop



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Lowa` hi fipaip ph p|aop Oiv ~opfaip tbh bo` op caowp HIA `hwa hm wp`v `|d

tow figc`a` fi pba |awcpw



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Ih `fwgwwfhi hi bht eoiv ~opfaipw f` ihp ghe~capapba pba|o~v h| tbv pbav `f` ihp ghe~capa pba|o~v



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Ih `fwgwwfhi hi bht eoiv ~opfaipw f` ihp ghe~capapba pba|o~v h| tbv pbav `f` ihp ghe~capa pba|o~v Cfja ehwp wp`faw# fp argc`aw bfdb |fwj ~opfaipw



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Qwa` ihi fi}owf}a pawpw hi occ ~opfaipw



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Qwa` ihi fi}owf}a pawpw hi occ ~opfaipw Occ ~hwfpf}a pawpw ta|a }a|fmfa` tfpb }aihd|oew



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Tbv fw pba cogj hm }aihd|oew fe~h|poip8

Cogj hm ghip|owp }aihd|o~bv fw wa` ph t|fpa hmmwp`faw ghiga|ifid ecpfeh`oc pba|o~faw fi PBO)



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Lhpb fi pba ~cogalh d|h~



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Lhpb fi pba ~cogalh d|h~ Lhpb m|he Goio`o



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Lhpb fi pba ~cogalh d|h~ Lhpb m|he Goio`o Lhpb Goio`foi wp`faw cogja` }aihd|oew hi pba mf|wp


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Lhpb fi pba ~cogalh d|h~ Lhpb m|he Goio`o Lhpb Goio`foi wp`faw cogja` }aihd|oew hi pba mf|wp fi pba ~cogalh d|h~)



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Lhpb fi pba ~cogalh d|h~ Lhpb m|he Goio`o Lhpb Goio`foi wp`faw cogja` }aihd|oew hi pba mf|wp fi pba ~cogalh d|h~) P|~fa fw m|he Goio`o



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Ihp qfpa ow ~hta|mc o wpopaeaip/



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Pba |opa hm eokh| lcaa`fid fi pba ~cogalh d|h~ hm pbahicv weocc |oi`hef{a` p|foc fi PB\ ~opfaipw tow wfefco|"0!&) Tfpb pba cfefpa` woe~ca wf{a# pba |a~h|pa` |opa hm0! fi pbop wp`v fw ihp wpopfwpfgoccv `fmma|aip m|he >!)Ghi}a|wacv# tfpb pbhwoi`w hm ~opfaipw fi p|aopeaip o|ew

hm gbaeh~|h~bvcorfw wp`faw# pba |opa hm eokh| lcaa`fidfw gcao|cv `amfia` oi` fw wpopfwpfgoccv wfdifmfgoip)



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Pba |opa hm eokh| lcaa`fid fi pba ~cogalh d|h~ hm pbahicv weocc |oi`hef{a` p|foc fi PB\ ~opfaipw tow wfefco|"0!&) Tfpb pba cfefpa` woe~ca wf{a# pba |a~h|pa` |opa hm0! fi pbop wp`v fw ihp wpopfwpfgoccv `fmma|aip m|he >!)Ghi}a|wacv# tfpb pbhwoi`w hm ~opfaipw fi p|aopeaip o|ew

hm gbaeh~|h~bvcorfw wp`faw# pba |opa hm eokh| lcaa`fidfw gcao|cv `amfia` oi` fw wpopfwpfgoccv wfdifmfgoip)

A}ai caww hm oi ai`h|waeaip mh| gbaeh~|h~bvcorfw)



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Ow~f|fi oi` hpba| oipf~copacap`|dw ~|h}f`a egb caww ~|hpagpfhiodofiwp ]PA ghe~o|a` tfpb hpba|

pb|helh~|h~bvcorfw eapbh`w)Wopq|`ov# Hgphla| # ?


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^A^ p|foc# Coigap >>



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OGG^ wpopaw Pba ~|feo|v ammagpf}aiaww hpghea fipba p|foc# }owgco| `aopb# tow ihp wfdifmfgoipcv |a`ga`

lv ow~f|fi



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OGG^ wpopaw Pba ~|feo|v ammagpf}aiaww hpghea fipba p|foc# }owgco| `aopb# tow ihp wfdifmfgoipcv |a`ga`

lv ow~f|fi

Bocm p|a



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^|feo|v dhoc tow IHP |a`gpfhi hm occ }owgco| `aopbw



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^|feo|v dhoc tow IHP |a`gpfhi hm occ }owgco| `aopbw ^|feo|v dhoc tow ph ghimf|e h| |ampa pba eapo%oiocvwfw |awcpw pbop OWO |a`ga` pba |fwj hm @]P oi`^A fi }o|fhw bfdb |fwj d|h~w)



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\awcpw;



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\awcpw; Wfdifmfgoip |a`gpfhi hm mopoc ^A# ]PA# oi` ~|hrfeoc

@]P

Ih gboida fi occ }owgco| `aopbw



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Ghimhi`fid }o|folcaw8



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Ghimhi`fid }o|folcaw8 OGG^ ae~bowf{aw pbop eoiv ~opfaipw ocwh |agaf}a`

hpba| ~|h~bvcogpfg eaow|aw



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Â^ p|foc @HAW oiocv{a pbawa fià~aiàipcv



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Â^ p|foc @HAW oiocv{a pbawa fià~aiàipcv Ammagp hm OWO |aeofiw ~hwfpf}a



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Fm pb|helh~|h~bvcorfw fw ihp

wa`# mopoc Â hgg|w fio~~|hrfeopacv hia ~opfaip ~a| 7>>

acagpf}a bf~ o|pb|h~cowpfawWopq|òv# Hgphla| # ?1: 67;2=>%2==

^hhca` h}a|occ eh|pocfpv oi` mopoc ~cehio|v aelhcfwe mh|~opfaipw ià|dhfid acagpf}a bf~ oi` jiaa |a~cogaeaipwtfpbhp ~|h~bvcorfw ghc` ihp la gocgcopa`)



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@obc ap) oc)# Mopoc }owgco| hpgheaw mhccthfid eokh|h|pbh~a`fg w|da|v) Pb|hel Boaehwp >1: 67;2=>%2==

^hhca` h}a|occ eh|pocfpv oi` mopoc ~cehio|v aelhcfwe mh|~opfaipw i`a|dhfid acagpf}a bf~ oi` jiaa |a~cogaeaipwtfpbhp ~|h~bvcorfw ghc` ihp la gocgcopa`)

Fp `haw gheeaip hi Bf~ M|ogp|aw



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Bhtfa ap) oc) ]aihw pb|helhaelhcfwe owwhgfopa` tfpb bf~oi` jiaa |a~cogaeaip h}a| o pai%vao| ~a|fh`: O ~h~copfhi%

lowa` wp`v



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lowa` wp`v

Ogpoccv o }a|v dhh` wp`v m|he pba Wghppfwb baocpb |adfwp|faw



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lowa` wp`v

Ogpoccv o }a|v dhh` wp`v m|he pba Wghppfwb baocpb |adfwp|faw

Lp fw eojaw ih gheeaip |ado|`fid eh|pocfpv tfpbhppb|helh~|h~bvcorfw



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Ocpbhdb eapooiocvwaw ZwfgU bo}a wbhti pboppb|helh~|h~bvcorfw tfpb C@QB h| ow~f|fi fw w~a|fh| phih pb|helh~|h~bvcorfw# lhpb odaipw o|a caww ammagpf}apboi hpba| pb|helh~|h~bvcorfw |adfeaiw fi pbfw bfdb%

|fwj d|h~)



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Oipf~copcap P|focfwpw Ghccolh|opfhi) Ghccolh|opf}ah}a|}fat hm |oi`hef{a` p|focw hm oipf~copacap pba|o~v;FFF) LEK ?660: 7>2;


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M|aa`eoi# KLKW OE >>: 2


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Cfala|eoi - Bw# KLKW 24%O"6 Wa~p >1: 64%


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Efweappf ap) oc)# K) Pb|helhwfw - Boaehwpowfw:>0: 12%



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Efweappf ap) oc)# K) Pb|helhwfw - Boaehwpowfw:>0: 12% Fig|aowa` lcaa`fid# lp ihp wfdifmfgoipcv `fmma|aip m|he CET



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P|ai` phto|`w eh|a lcaa`fid tfpb CETB



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Cowp |ama|aiga ba|a fw pba 4pb a`fpfhi hm pba df`acfiaw



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\agheeai`a` FI\ %7)>



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Pbav pb|aopai pbop o chta| FI\ eov ihp ~|h}f`a h~pfeoc~|hpagpfhih| a}ai |a`ga pba |fwj hm lcaa`fid



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Pbav pb|aopai pbop o chta| FI\ eov ihp ~|h}f`a h~pfeoc~|hpagpfhih| a}ai |a`ga pba |fwj hm lcaa`fid Odofi# ih |ama|aigaw



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CETB o|a

bfdbcv ammagpf}a oi` woma



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OGG^ o`efpw; Pba |opa hm eokh| lcaa`fid tow wfdifmfgoipd|aopa| fi pba ~opfaipw tbh wpo|pa` CETB lamh|a w|da|v fi pbhwa tbh |agaf}a` to|mo|fi



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OGG^ o`efpw ph o bfdba| iaa` mh| p|oiwmwfhi fi ~opfaipw|agaf}fid CETB |ado|`caww hm wpo|pfid pfea ghe~o|a` phto|mo|fi



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OGG^ oèfpw ph o bfdba| iaa` mh| p|oiwmwfhi fi ~opfaipw|agaf}fid CETB |ado|`caww hm wpo|pfid pfea ghe~o|a` phto|mo|fi

OGG^ ghigcàw pbop CETB o|a bfdbcv ammagpf}a oi` woWopq|òv# Hgphla| # ?!

tfpb DGW


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7)?)< Mh| ~opfaipw i`a|dhfid PB\# ta |agheeai`


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~ d d #odofiwp pba wa hm oiv hm pba mhcchtfid; ow~f|fi)))ow pbawhca eapbh` hm pb|helh~|h~bvcorfw) "D|o`a ?O&

7)


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~ d dodofiwp pba wa hm oiv hm pba mhcchtfid; ow~f|fi)))ow pbawhca eapbh` hm pb|helh~|h~bvcorfw) "D|o`a ?O&

7)


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Dacma| ap) oc): @aa~ }afi pb|helhwfw ~|a}aipfhi fi khfip


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: ~ ~ ko|pb|h~cowpfaw; ghipfihw aiboiga` gf|gcopfhi pba|o~v}w cht ehcagco| tafdbp ba~o|fi K) O|pb|h~cowpv# >=Mal:


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: ~ ~ ko|pb|h~cowpfaw; ghipfihw aiboiga` gf|gcopfhi pba|o~v}w cht ehcagco| tafdbp ba~o|fi K) O|pb|h~cowpv# >=Mal:


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Bao` ph bao` tfpb oi awpolcfwba` |adfeai hm CETB


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Eaapw pba ghe~o|oph| g|fpa|fo


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Ghip|owp }aihd|o~bv





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Ghip|owp }aihd|o~bv @|h~ hpw ta|a w~agfmfa` 4 fi aogb d|h~





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WhVAW fp qocfmfaw





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WhVAW fp qocfmfaw ^lcfwba` ao|cv >=# wh fp ghc` bo}a laai figc`a`



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Eh|a ammagpf}a pboi CETB


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Eh|a ammagpf}a pboi CETB @]P; 0(=? tfpb GAGP ?4(=> tfpb CETB


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@]P; 0(=? tfpb GAGP# ?4(=> tfpb CETB




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@]P; 0(=? tfpb GAGP# ?4(=> tfpb CETB ^A; ? fi CETB d|h~# > fi GAGP d|h~



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@]P; 0(=? tfpb GAGP# ?4(=> tfpb CETB ^A; ? fi CETB d|h~# > fi GAGP d|h~

PBO ammfgogv; ?7(?4 CETB# >(0 GAGP

Tfpb ?>> ed Ow~f|fi ghe~o|olca womapv



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Wo}a` pba bhw~fpoc oi o}a|oda hm 9$> ~a| ~opfaip/



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@]P ^A



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@alij pba ~bfchwh~bv pbop @]P 5 ^A



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@alij pba ~bfchwh~bv pbop @]P 5 ^A Lv wfid pba woea wp`faw ZefwUqhpa` lv OGG^



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Eagboifgoc Ghe~|awwfhi8



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Pba|a fw ihp o ghipae~h|o|v wp`v pbop oàqopacvàwg|flaw pba figfàiga hm eokh| w|dfgoc lcaa`fid fi


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~opfaipw tbh bo}a ihp |agaf}a` ~|h~bvcorfw# lp occ|a~h|pw hm eagboifgoc oipfpb|helhpfg `a}fgaw o|aihpath|pbv mh| oi figf`aiga hm eokh| lcaa`fid hm cawwpboi ?!



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Bf~ O|pb|h~cowpv;


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Bf~ O|pb|h~cowpv;

O~~|h}a` lv pba OGG^ % hicv % mh| bfdb |fwj hmlcaa`fid ~opfaipw


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Bf~ O|pb|h~cowpv;



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A}ai pbai# hicv ipfc pba lcaa`fid |fwj dhaw `hti


Bf~ O|pb|h~cowpv;



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A}ai pbai# hicv ipfc pba lcaa`fid |fwj dhaw `hti Jiaa O|pb|h~cowpv;



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Bf~ O|pb|h~cowpv;



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A}ai pbai# hicv ipfc pba lcaa`fid |fwj dhaw `hti Jiaa O|pb|h~cowpv; HJ fm h~pfeoc lp a}ai pbai# o D|o`a FL CETB# bfdb `hwa# D|o`a ?O


b f


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Pba ^opfaip



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Pba OOHW ihpaw pbop pba `amfifpfhi hm eokh| lcaa`fid}o|faw# lp pai`w ph i`a|awpfeopa pba lcaa`fid |fwjw)


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Wp`faw pbop `h |a~h|p eokh| lcaa`fid `h ihp bo}amhccht ~ hi chid pa|e |awcpw oi` ghe~cfgopfhiw fi

~opfaipw tbh bo}a eokh| lcaa`fid


Ih lfd `aoc8


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Ih lfd `aoc8



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^opfaipw tfpb efih| lcaa`w bo}a;


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Eh|a ~ofiWc f ^b f c Pb


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Wchta| ~|hd|aww fi ^bvwfgoc Pba|o~v





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Bfdba| fimagpfhi |opa





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Bfdba| fimagpfhi |opa

Qcpfeopa hpghea caww mo}h|olca



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Wve~pheopfg ]PA


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Wve~pheopfg ]PA M|he gb|hifg cve~ba`aeo ph mopoc ^A


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Wve~pheopfg ]PA M|he gb|hifg cve~ba`aeo ph mopoc ^A


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@h "e&oiv ~opfaipw go|a olhp owve~pheopfg @]P8

^|hlolcv ihp


OGG^ }w) OOHW


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Cfja pba OGG^# pba cfpa|op|a tow d|o`a` Wfefco| ph pba OGG^# pba wgoca tow lowa` hi pba pv~a hm


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wp`v# oi` pba qocfpv hm pba |agheeai`opfhiw

Pba woea wp`faw pbhdb# ta|a |opa` `fmma|aipcv



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Bf~ Wp`faw; Hicv < ta|a ghiwf`a|a` dhh`


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Bf~ Wp`faw; Hicv < ta|a ghiwf`a|a` dhh` O~~cfgolfcfpv mh| lhpb tow hicv eh`a|opa


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~~ v v




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~~ v v

Hicv ? bo` tf`a o~~cfgolfcfpv




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v v

Hicv ? bo` tf`a o~~cfgolfcfpv

Pba qocfpv tow ghiwf`a|a` hicv mof|



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Jiaa Wp`faw


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Wopq|`ov Hgphla| ?


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Jiaa Wp`faw Occ wp`faw |opa` ow mof| h| ~hh| qocfpv 7 wp `faw fpb f`a o~~cfgolfcfp


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7 wp`faw tfpb tf`a o~~cfgolfcfpv

Wopq|`ov Hgphla| ?


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Wopq|`ov Hgphla| ?


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Tbai hicv cht qocfpv h| ih a}fàiga ta|a o}ofcolca#dfàcfiaw ta|a à}ach~a` lowa` hi pba ghiwaiww hm

ar~a|p h~fifhi oi` pba lawp o}ofcolca a}fàiga

Pba OGG^ `hawip cfja pbfw wpopaeaip


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Tbai hicv cht qocfpv h| ih a}fàiga ta|a o}ofcolca#dfàcfiaw ta|a à}ach~a` lowa` hi pba ghiwaiww hm

ar~a|p h~fifhi oi` pba lawp o}ofcolca a}fàiga

Pba OGG^ `hawip cfja pbfw wpopaeaip F p ` pb Ocpb b pb ` pf


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Fiwpao` pbav wov; Ocpbhdb pba |agheeaiòpfhiw o|aa}fàiga lowa`# ta ocwh ~|h}fà ar~a|p# ghiwaiww%

lowa` wddawpfhiw pbop gcfifgfoiw efdbp mfi` wamctbai pba a}fàiga fw taoj



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Pbav gcofe pbop pba OOHW;


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Mofca` ph wbht laiamfp mh| oiv fi`f}f`oc odaip h}a|IH P\AOPEAIP Occ pba |agheeai`opfhi o|a lowa` hi ar~a|p


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~h~fifhi



Mofca` ph wbht laiamfp mh| oiv fi`f}f`oc odaip h}a|IH P\AOPEAIP Occ pba |agheeai`opfhi o|a lowa` hi ar~a|p


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~h~fifhi

Df`acfiaw ihp cfija` ph |awcpw hm pbaf| oiocvwfw


@fwg|a~oigv OGG^ OOHW

Argc`fid p|focw lamh|a?661

LO@; acfefiopaw gcowwfgwp`faw

DHH@; Pagbifqaw boo`}oiga`# iaa` |aca}oi

A H f fLO@; Gcofew pbop pba|a fw

f OI@ b OCCLawp o}ofcolca tbai pb

f IHP ` f


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Ar~a|p H~fifhi wgfaiga OI@ pbop OCCOOHW fw lowa` hi h~fifhi

fw IHP dhh` wgfaig"OGG^ wpopaw pba woe

Df`acfiaw oi` oiocvwfwGcofew OOHW fw ihp

cfija`Gcao|cv cfija` oi`

ar~cofia`



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F `hip


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F `hip F `f` ihp fi}awpfdopa A]A\V |agheeai`opfhi# lp a}a|v

` pf pb p F `f` f pf p m cp


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|agheeai`opfhi pbop F `f` fi}awpfdopa# tow mocpv)



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Eapo%Oiocvwfw ghiga|ifid pba o|pfmfgfoc wtaapaia|Ow~o|poea lv \oc~b Tocphi# E)@)# Gbof| hm ^wvgbofp|v#Ih|pbaowpa|i Hbfh Qif}a|wfpfaw Ghccada hm Ea`fgfia

@f}f`a` wp`faw lv mi`fid wh|ga


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@f}f`a` wp`faw lv mi`fid wh|ga

6>! hm fi`wp|v mi`a` wp`faw mhi` fp ph la woma



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Ifia opbh|w


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Ifia opbh|w Occ }hcipaa|w


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Ifia opbh|w Occ }hcipaa|w I c p ` p pf c mcf p m f p p


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Ihia |acopa` ~hpaipfoc ghimcfgp hm fipa|awp



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OGG^ 2pb a`fpfhi# >2


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OGG^ 2pb a`fpfhi# >2 Wa}ai opbh|w


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OGG^ 2pb a`fpfhi# >2 Wa}ai opbh|w Wfr `fwgchwa` op caowp hia mfioigfoc h| fipaccagpoc

ghimcfgp hm fipa|awp


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ghimcfgp hm fipa|awp


Wf| M|oigfw Loghi


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\hioc` \aodoi


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O`h~pa` pba 2pb a`fpfhi |agheeaiòpfhiw àw~fpa pba~lcfgopfhi hm pba 6pb a`fpfhi hm Pba Dfàw


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O`h~pa` pba 2pb a`fpfhi |agheeaiòpfhiw àw~fpa pba~lcfgopfhi hm pba 6pb a`fpfhi hm Pba Dfàw

Bow $$ lhdbp pba Dh}a|ieaipw Ar~a|pw ocwh8


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EWB fw o 4= v) h) tbfpa maeocatfpb op|foc mfl|fccopfhi


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ÊB fw wfdifmfgoip mh| Ê\#w~fioc wpaihwfw# lhpb hm tbfgbbo}a laai p|aopa` tfpb cht phehà|opa `hwa wpa|hf`w mh|vao|w


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ÊB fw wfdifmfgoip mh| Ê\#w~fioc wpaihwfw# lhpb hm tbfgbbo}a laai p|aopa` tfpb cht phehà|opa `hwa wpa|hf`w mh|vao|w


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@aehiwp|opa` go~fcco|vm|odfcfpv fi pba wjfi



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FI\ 5


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\ao` pba cfpa|op|a go|amccv oi` g|fpfgoccv


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\ao` pba cfpa|op|a go|amccv oi` g|fpfgoccv Chhj op pba tbhca ~fgp|a hm ~opfaip womapv Tfpb occ `a |aw~agp ph @|) Ghctacc# a}ai topa| bow ph


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ehifph|a`



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\ao` oi` i`a|wpoi` pba df`acfiaw ~a|pfiaip ph vh|~opfaip "wfidco|&


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Qi`a|wpoi` pba gheea|gfoc lfow fi pba df`acfiaw


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Qi`a|wpoi` pba gheea|gfoc lfow fi pba df`acfiaw GVO; @hgeaip tbv vh|a `hfid pba |fdbp pbfid fi


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hm pba |aqf|a` pbfid



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\aeaela|# vh| ~opfaipw o|a fi`f}f`ocw# ihp d|h~w/


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\aeaela|# vh| ~opfaipw o|a fi`f}f`ocw# ihp d|h~w/ @h tbop fw lawp mh| occ hm vh| ~opfaipw


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\aeaela|# vh| ~opfaipw o|a fi`f}f`ocw# ihp d|h~w/ @h tbop fw lawp mh| occ hm vh| ~opfaipw %%hia ~opfaip op o pfea/


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Pboij Vh


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O`oe F) Bo||fw# E


CMS Guidelines for Sale. Adam Harris, M.D.

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