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++ If we reach a determination to reopen the ACO's payment determination for a performance year: We would recalculate expenditures to account for improper payments using the methodology proposed in section III.G.7.c.(2).(c) of the CY 2025 PFS proposed rule (89 FR 61898 through 61907), recalculate the ACO's shared savings or shared losses, issue a revised initial determination, and engage in payment activities and recoupment activities, as needed

Solvent Addition Technique How the solvent is introduced to the peptide matters as much as which solvent is chosen

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