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We believe that, since CTS may be reasonable and necessary when they are integral to a patient's overall treatment and furnished after the treatment plan is established especially in the case of medical treatment scenarios where assistance by the caregiver receiving the CTS is necessary to ensure a successful treatment outcome for the patient, (for example when the patient cannot follow through with the treatment plan for themselves), these services should be included in the definition of primary care services for purposes of beneficiary assignment in support of the Shared Savings Program's goal to promote coordinated, high quality care to an ACO's assigned beneficiaries

More information on roster billing is available on the CMS web page at

We did a late luncheon reception

Fifth, our study population may not represent the entire COPD population, as we focused COPD patients who utilized health care services including the prescription of COPD medication and who participated the national health screening examinations