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For purposes of the discussion within this section of this proposed rule, we refer to the former as improper payments originating inside the ACO, and the latter as improper payments originating outside the ACO

For example, the usage of monoclonal antibodies in the treatment of autoimmune disease may not render the same level of immunosuppression and subsequent susceptibility to infection as chemotherapy used in the treatment of cancer

(2) Identification of the Payment Amount Benchmark Quarter In 427.302(c), CMS proposes to codify policies from section 50.3 of the revised Medicare Part B Drug Inflation Rebate Guidance to identify the applicable payment amount benchmark quarter