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Identifying High-Risk Populations Some groups face a higher risk of B12 deficiency due to medication

CMS expects that if the OTP provides reasonable and necessary medications for an OUD as part of an episode of care, the OTP will take measures to ensure that there is no claim for payment for these drugs other than as part of the OTP bundled payments

If weight changes happen, theyre often more tied to the overall plan (nutrition and activity) than the shot alone

However, as noted earlier in this discussion, we are aiming to strike a balance between coding specificity and administrative simplicity to appropriately stratify APCM services based on how chronic medical conditions interact with increased risk associated with social determinants of health (SDOH) factors

Sharabi A, Cohen E, Sulkes J, et al