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We are also proposing to specify for APCM services the practice-level characteristics and capabilities that we believe to be inherent to, and necessarily present when a practitioner is providing covered services using, the advanced primary care model

While we continue to consider clinical scenarios where it may be appropriate to permit the virtual presence of the teaching physician, we are proposing to continue our current policy to allow teaching physicians to have a virtual presence for purposes of billing for services furnished involving residents in all teaching settings, but only when the service is furnished virtually (for example, a 3-way telehealth visit, with the patient, resident, and teaching physician in separate locations)

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( 3 ) Summing the total allowed charges as determined in paragraphs (c)(1)(iii)(B)( 1 ) and ( 2 ) of this section and dividing by the total number of individuals, de-duplicated for individuals identified under paragraphs (c)(1)(iii)(B)( 1 ) and ( 2 )

The adjuvant use dosages of Leukine in clinical trials are generally much smaller than dosages for indications in the FDA-approved labeling