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In particular, section 1842(o)(5)(A)(ii) of the Act specifies that the furnishing fee can take into account ancillary supplies and patient training for the self-administration of such factors. As stated in the CY 2005 PFS final rule, the furnishing fee accounts for the costs associated with supplying the clotting factor, including patient training necessary for self-administration of such factors (69 FR 47523

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CombsGFJTrumboPRMcKinleyMCMilnerJStudenskiSKimuraTet al

This assessment could involve considering whether the increase in billing activity was at such scale that it causes the difference between performance year and benchmark year expenditures for an ACO's assigned beneficiary population for the claim type affected by the billing activity (for example, DMEPOS) to be substantially larger than differences for other claim types