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Ketterer B, Harris JM, Talaska G, Meyer DJ, Pemble SE, et al

As explained in the FY 2020 IPPS/LTCH PPS proposed rule (84 FR 19593), we would continue to use a 5.1 percent target (or an outlier offset factor of 0.949) in calculating the outlier offset to the standardized amount

This commenter further urged CMS to allow RHC's to be able to conduct an AWV the same day as an office visit as they noted they believe it is often difficult either logistically or financially for many in the rural healthcare setting to make 2 trips, and as a result they do not believe as many patients whose only access to healthcare that is being served by a RHC are benefiting from AWV's

It mightparticularly if these symptoms are rooted in intestinal inflammation or barrier dysfunction