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what is the ms-drg for 811

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By , July 15, 2015 5:41 am
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  • what is the ms-drg for 811

    https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MedicareFeeforSvcPartsAB/downloads/DRGdesc08.pdf
    LIST OF DIAGNOSIS RELATED GROUPS (DRGS), FY2008 MS …
    LIST OF DIAGNOSIS RELATED GROUPS (DRGS), FY2008 … MS-DRG Title ……
    Major hematol/immun diag exc sickle cell crisis & coagul w/o CC/MCC. 811. 16.

    http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/MedQtrlyComp_Newsletter_ICN903687.pdf
    Medicare Quarterly Provider Compliance Newsletter – Centers for …
    Jul 4, 2011 … Other Nervous System Procedures with MCC: MS-DRG 040. ….. validation on the
    following MS-DRGs: … with MCC to 811–Red blood cell.

    https://www.hcup-us.ahrq.gov/db/nation/nis/APS-DRGsDefManualV27Public.pdf
    APS-DRGs® – HCUP
    Instructions for Newborn and Neonatal APS-DRGs® . … APS-DRGs® were
    designed to place a uniform layer of ….. Sickle Cell Anemia – Is the CDRG = 811?

    http://www.eisneramper.com/uploadedFiles/Resource_Center/Articles/Articles/Healthcare-Coding-Documentation-2011.pdf
    Download PDF – EisnerAmper
    Oct 1, 2010 … Currently for MS-DRG 811 y. – Red Blood Cell Disorders with MCC. – Endocrine,
    Nutritional & Metabolic Disorders. • Currently for MS-DRG …

    http://www.hcup-us.ahrq.gov/reports/statbriefs/sb185-Hospital-Intensive-Care-Units-2011.pdf
    Utilization of Intensive Care Services, 2011 – HCUP – Agency for …
    Dec 1, 2014 … (MS-DRG 811, 812). Major joint replacement or reattachment of lower extremity. (
    MS-DRG 469, 470). Simple pneumonia and pleurisy.

    http://www.bcbsil.com/labor/pdf/code_manual/revenue_codes.pdf
    REVENUE CODES
    ACQUISITION OF BODY COMPONENTS,. GENERAL. ORGAN ACQUISIT. 811.
    LIVING DONOR. LIVING DONOR. 812. CADAVER DONOR. CADAVER/DONOR.

    http://www.healthcostinstitute.org/files/HCCI_HCCUR2011_Methodology.pdf
    Methodology – Health Care Cost Institute
    Sep 24, 2012 … MS-DRG (v26.0) Mapping to Inpatient Service Category . … Major Diagnostic
    Category (MDC) to MS-DRG Mapping . …… P. 811-27.

    http://www.healthcostinstitute.org/files/Vermont%20Methodology%205-13-2014.pdf
    Download the Methodology (PDF) – Health Care Cost Institute
    May 13, 2014 … categories based on the MS-DRG code—medical, surgical, ….. P. 811-. 27. The
    specific methodology is proprietary and not owned by HCCI.

    http://www.healthcostinstitute.org/files/HCCI%202012%20Methodology.pdf
    HCCUR Analytic Methodology – Health Care Cost Institute
    4.1 Inpatient facility detailed service categories and corresponding MS-DRG
    codes …… 811-27. The specific methodology is proprietary and not owned by
    HCCI.

    http://www.patientcareanalyst.com/documentation/codes/CMSv24_MSv25map.pdf
    Medicare Severity DRGs – Patient Care Analyst
    MS-DRG Descriptions … assigned to MS-DRG 005 regardless of severity level
    …… 811. Red blood cell disorders w MCC. 396. 812. Red blood cell disorders w/o
     …

    http://health.state.tn.us/statistics/PdfFiles/y08d120.pdf
    drg 120 – the Tennessee Department of Health
    Number of Cases and Median Charges ($) Based on APR-DRGs* … *APR-DRGs
    : All Patient Refined Diagnosis Related Groups adjusting for severity of illness ….
    811 . . 8 116. Sullivan. 8220 Wellmont Bristol Regional Med. Ctr. . . 7. 41,788.

    http://www.health.ny.gov/statistics/sparcs/sysdoc/inpatientoutputdd.pdf
    SPARCS Inpatient Output Data Dictionary – New York State …
    Jul 1, 2011 … DRGs. Due to the large number of data elements and the repetitive nature of
    some of the data elements,. SPARCS cannot put all ….. 811 – 812.

    http://healthdata.brhpc.org/Docs/DRG_Medical_Services_Guide.pdf
    MEDICAL SERVICES DRGDATA WAREHOUSE – Florida Health …
    Medical Services/DRGs (this is used for all custom reports). The following are ….
    The MS/DRG Data Warehouse uses a modified version of the Medicare Major
    Diagnostic Groups. (MDC) to ….. 811 Red blood cell disorders w MCC. Oncology.

    http://www.rand.org/content/dam/rand/pubs/monograph_reports/2006/MR304.pdf
    An Evaluation of Medicare Payments for Transfer Cases
    _ . . . . . . . . 12. CostS Within DRGS wi出 Many Transfer CaseS . . , . …
    RegreSSion Model Covering Transfers in AH DRGs . . . . . . . . . . . . . . . 18 … F1 811
    reS. 3.1.

    http://www.jneurosci.org/content/24/8/1941.full.pdf
    Essential Function of Oncostatin M in Nociceptive – The Journal of …
    situ hybridization revealed that OSMR-positive neurons in DRGs began to
    appear at … biology, Wakayama Medical University, 811-1 Kimiidera, Wakayama,
     …

    http://www.tmhp.com/News_Items/2010/08-13-10%20Present%20on%20Admission%20Reporting.pdf
    Present on Admission Reporting Required on Hospital … – TMHP.com
    Aug 13, 2010 … (Based on 50th percentile for fiscal year [FY] 2008). Principal Diagnosis. • MS-
    DRG 066. • Intercranial hemmorage or cerebral infarction (stroke).

    https://www.colorado.gov/pacific/sites/default/files/Rule_18_prior_to_2014.pdf
    DEPARTMENT OF LABOR AND EMPLOYMENT … – Colorado.gov
    and MS-DRGs, unless otherwise specified in this Rule. This Rule … may be
    purchased from the AMA, the MS-DRGs Definitions Manual may be purchased
    from 3M …… (3) For organ acquisition allowance, (revenue codes 811-812) see
    18-.

    http://www.hcca-info.org/Portals/0/PDFs/Resources/Conference_Handouts/Compliance_Institute/2012/P3print2.pdf
    What to Do When A Recovery Auditor Knocks on Your Hospital's Door
    with CC, and MS-DRG 639, diabetes without a CC or MCC. *Will be readjusted
    based …… 315 316 393 551 552 640 682 683 684 689 811. 73. Copyright ©2012
     …

    http://dev.biologists.org/content/119/1/49.full.pdf
    Stem cell factor induces outgrowth of c-kit-positive … – Development
    shown that dorsal root ganglia (DRGs) of mice express c- kit mRNA … Keshet et
    al., 1991), we cultured DRGs from normal (+/+) …… Nature 352, 809-811. Eldik …

    http://hfmaky.org/downloads/modeling_reimbursement_methodologies_in_the_changing_payment_environment___david_hammer.pdf
    Modeling Reimbursement in the Changing Payment Environment
    Jul 24, 2014 … 278 Providers, 175 IDNs, 463 Facilities, 48 Episodes, 178 DRGs ….. 811, 812.
    Red Blood Cell Disorders. 787. $4,837,423. $5,685,447.

    the advantages and disadvantage of drg

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    By , July 15, 2015 12:34 am
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  • the advantages and disadvantage of drg

    http://www.princeton.edu/~ota/disk3/1983/8306/830610.PDF
    A Brief Review of the Development of DRGs – Princeton University
    (DRGs) has been ongoing since the late 1960's, and it is appropriate to view the
    concept … advantages and disadvantages of the length of stay criterion will be …

    https://www.thl.fi/documents/10531/120652/Chess_seminar_DRG-based-payment_WQ2.pdf
    DRG-based hospital payment Experiences from 12 European …
    Nov 9, 2011 … Purposes of DRG systems in 12 European countries … Hospital payment systems
    and their theoretical advantages and disadvantages.

    http://www.peer.state.ms.us/reports/rpt530.pdf
    Benefits and Limitations of an All Patient Refined-Diagnosis Related …
    Dec 8, 2009 … introduction of an APR-DRG payment method, it must be maintained and ….. the
    actual benefits and limitations of the APR-DRG process.

    http://www.rand.org/content/dam/rand/pubs/reports/2007/R3930.pdf
    The Effects of the DRG-Based Prospective Payment System on …
    comes of Care Before and After Implementation of the DRG- … from the PROs
    included medical directors, physician consultants and reviewers, project directors
     …

    http://www.cms.gov/mmrr/Downloads/MMRR2013_003_03_a03.pdf
    Bundling Post-Acute Care Services into MS-DRG Payments
    performance of the MS-DRGs with and without the chronic illness subclasses …..
    Each of these measures of resource use has advantages and disadvantages.

    http://www.dhcs.ca.gov/Documents/Medi-Cal%20DRG%20Project%20FAQs.pdf
    Medi-Cal DRG Project – California Department of Health Care Services
    Jul 27, 2011 … (DRG). The reference is to Senate Bill 853, passed in October 2010, which added
    Sections 14105.28 and. 14105.281 to …. The project workgroup will evaluate the
    advantages and disadvantages of each option. 15. What will …

    http://govinfo.library.unt.edu/ota/Ota_4/DATA/1983/8306.PDF
    Diagnosis Related Groups (DRGs) and the Medicare Program …
    The amount paid will depend primarily on the Diagnosis Related Group (DRG)
    into which the pa- …… earlier (30). The major advantage of the Severity of Illness.

    http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.22.2110&rep=rep1&type=pdf
    Hospital payment in the United States: An overview and … – CiteSeer
    Jun 5, 2001 … DRG payments are not fully prospective, in that payments ….. The great
    advantage of capitation as a payment system is that it encourages an …

    http://bmg.cms.apa.at/cms/home/attachments/9/4/3/CH1015/CMS1292515593745/austrian_drg_bmg_2010_end_eng_revised.pdf
    The Austrian DRG system – Bundesministerium für Gesundheit
    The Austrian DRG system has proven effects that can be derived from the
    transparency of ….. the advantage of being easy to manage and was in use until
    1996.

    http://www.hope.be/05eventsandpublications/docpublications/77_drg_report/77_drg_report_2006.pdf
    DRGs as a financing tool – Hope
    One of these gaps is the use of Diagnoses Related Groups (DRGs) and more
    precisely the ….. Employees, people entitled to a social benefit … o limitations to
    improve expenses (personnel enrollment cup, consulting contracts cup and
    similar).

    http://www.mediclinic.co.za/about/Documents/ECONEX_Health%20reform%20note_6.pdf
    Health Reform Note 6 – Medi-Clinic
    vantages and disadvantages to single-payer systems … perceived pros and cons.
    Usu- ally, however, in …… the individual hospital. DRG systems are administra-.

    http://www.buseco.monash.edu.au/centres/che/pubs/rp21.pdf
    Inter-DRG Resource Allocation in a Prospective Payment System: A …
    are determined by setting low and high trim points for each DRG. ….. The main
    advantage of using proportions and shares is that they neutralize the effect of.

    http://groups.wfu.edu/debate/MiscSites/DRGArticles/2007/The%20Scope%20of%20Negative%20Fiat%20and%20the%20Logic%20of%20Decision%20Making.pdf
    The Scope of Negative Fiat and the Logic of Decision Making.pdf
    explain what we believe to be the primary benefits ofparticipating in policy debate
    . From there …. (2001 ) keenly explained that advantages and disadvantages
    relating to political ramifications ….. When drawing conclu- sions from their data, …

    http://programs.jointlearningnetwork.org/sites/jlnstage.affinitybridge.com/files/Thailand_provider_management_presentation_0.pdf
    Overview of Thailand provider management reform efforts
    IP: DRGs (2year). Capitation. OP: Capitation. IP: DRGs. •Year 2008,. •CSMBS =
    Civil Servant Medical Benefit scheme, SSS …. Advantages and disadvantages.

    http://content.healthaffairs.org/content/5/2/46.full.pdf
    cost containment and incentives for technology – Health Affairs
    edge production because the benefits of that knowledge are not appropriable …
    each Medicare patient and each DRG based on the expected cost of re- sources
    used ….. There are obvious advantages and disadvantages to the use of supple-.

    http://dspace.uni.lodz.pl:8080/xmlui/bitstream/handle/11089/469/303-315.pdf?sequence=1
    comparative analysis of drg systems in the eu countries
    The main disadvantage of DRGsystem is resignation the holistic treatment to a
    choY … and at the same time prevent him or her from taking advantage of these …

    http://www.uphs.upenn.edu/dgimhsr/documents/practicalcosting.sp14.pdf
    Lecture 11. Practical Costing
    Feb 28, 2014 … Cost of discretionary “fixed” costs equals their net benefit in their next …
    Disadvantages … e.g., DRG weight of 2.0 considered twice as costly as.

    http://www.geo.utexas.edu/courses/420k/PDF_files/LABS/GIS/map_project.pdf
    TRANSVERSE MERCATOR PROJECTIONS AND U.S. …
    Joining DRG quadrangles into seamless images, therefore, requires customized
    data organization, powerful software, or … to USGS map cells, and the reasons
    DRG's and other USGS digital products are projected on the UTM. ….. drawback
    is that data files can become very … Each of these options had advantages and.

    http://link.springer.com/content/pdf/10.1007%2F978-1-4939-2306-9_7.pdf
    Gene Delivery to Neurons of the Dorsal Root Ganglia Using Adeno …
    to efficiently transduce dorsal root ganglion (DRG) neurons in vivo using AAV. …
    Finally, we discuss the specific advantages and disadvantages of these two …

    http://eeecon.uibk.ac.at/wopec2/repec/inn/wpaper/2013-06.pdf
    Hospital specialisation within a DRG-Framework: The … – eeecon
    ISHMT was developed for hospital activity comparison and has the benefit of …
    Groups or DRGs, has the disadvantage of being neither comparable over time as
    .

    code added to the inpatient only list for 2015 according to the cy 2015 opps rule

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    By , July 14, 2015 8:14 pm
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  • code added to the inpatient only list for 2015 according to the cy 2015 opps rule

    http://www.californiahia.org/sites/californiahia.org/files/docs/CDQarticles/2014-02-review-medicare-outpatient-pps-final-rule-for-2014.pdf
    Review of the Medicare Outpatient Prospective Payment System …
    Center (ASC) payment system Final Rule on November 27, 2013, and it became
    effective January1, 2014. There are several important changes to the OPPS and
    ASC payment … Four new procedures were added to the “Inpatient Only” list for
    2014: … Two OQR program measures that were removed for CY 2015 payment …

    http://www.plasticsurgery.org/Documents/Health-Policy/Coding-Payment/hopps-proposed-rule-2015.pdf
    CY 2015 HOPPS Proposed Rule – American Society of Plastic …
    Jul 1, 2014 … payment system for CY 2015 to implement applicable statutory … for hospital
    inpatient admissions only for long-stay cases and outlier …. However, beginning
    with the CY 2012 OPPS/ASC proposed rule, all of …. Described by Add-On
    Codes …. Policies Governing Changes to the Lists of Codes and Payment …

    http://www.cgsmedicare.com/hhh/pubs/mb_hhh/2015/j15_hhh_02-15.pdf
    Medicare Bulletin – February 2015 – CGS Medicare
    Feb 2, 2015 … Descriptions and other data only are copyrighted 2009 American Medical …
    Medicare Secondary Payer Explanation Codes … to the CMS electronic mailing
    lists. … This MLN Matters® Article is intended for Inpatient Rehabilitation Facilities
    …. As described in the CY 2015 final rule, to determine the CY 2015 …

    http://www.aha.org/advocacy-issues/letter/2014/140827-cl-cms1613p.pdf
    August 27, 2014 Marilyn B. Tavenner Administrator Centers for …
    Aug 27, 2014 … (CMS) proposed rule for the calendar year (CY) 2015 hospital … to the inpatient-
    only list; changes to the proton beam radiation …. Revising the add-on code
    packaging policy established in CY 2014 by … that CMS accurately computed the
    weights according to the established OPPS methodology and.

    http://www.accc-cancer.org/advocacy/pdf/2015-OPPS-proposed-summary.pdf
    1 Summary of Selected Provisions of the Hospital Outpatient …
    information are available only on the CMS web site. … CMS proposes to continue
    for CY 2015 to calculate the OPPS relative payment weights … Exception;
    Physician Certification of Inpatient Hospital Services; Medicare ….. In the CY
    2014 OPPS final rule, CMS packaged add-on codes in the OPPS, with the
    exception of.

    http://www.chausa.org/docs/default-source/advocacy/071414-summary-of-proposed-fy2015-opps-rule.pdf?sfvrsn=2
    proposed rule – Catholic Health Association of the United States
    Jul 14, 2014 … Proposed Procedures That Would Be Paid Only as Inpatient Procedures………..
    …. list of codes to be bypassed to convert multiple procedure claims to … OPPS,
    including codes that would be affected by the proposed 2015 OPPS expanded ….
    CMS will continue to add new brachytherapy source codes and …

    https://www.janssenaccessone.com/assets/medicare-hospital-outpatient-prospective-payment-system.pdf
    Medicare Hospital Outpatient Prospective Payment System (OPPS …
    Nov 10, 2014 … This document is presented for informational purposes only and is … Summary of
    Key Provisions from the 2015 OPPS Final Rule … services, including the
    associated drug administration add-on codes,”7 so changes to … applying the CY
    2017 and CY 2018 payment adjustments (see Appendix 3 for a list of.

    https://www.acponline.org/advocacy/where_we_stand/assets/summary_of_cy2015__proposed_rule_physician_fee_schedule.pdf
    Summary of the Proposed Medicare Physician Fee Schedule Rule …
    Physician Fee Schedule Rule for CY 2015. Table of … idea was to use the
    Outpatient Prospective Payment System (OPPS) and … (According to the claims
    data this code is performed 40.26% of … hospital inpatient and outpatient
    prospective payment systems. …. the clinician, to include not only the telephone
    but also secure.

    http://information.medassets.com/rs/medassets/images/CCFN-2015-January.pdf
    January 2015 Hospital Outpatient Prospective Payment … – MedAssets
    Jan 1, 2015 … From new HCPCS codes to replacement CPT® codes … for 2015. Beyond just
    listing all the changes, Guilbeau provides you with …. CODES. For calendar year
    (CY) 2015, CMS will terminate two …. since the publication of the 2015 OPPS
    Final Rule. … inpatient or if the patient should be discharged from.

    http://www.cahabagba.com/documents/2015/01/february-2015-medicare-newsline.pdf
    February 2015 – Cahaba GBA
    Feb 2, 2015 … Fiscal Year (FY) 2015 Inpatient Prospective Payment … CY 2015 Annual Update
    for Clinical Lab Fee Schedule … Physician Fee Schedule Final Rule and
    Telehealth …. add us to your contact lists, adjust your spam settings, or follow the
    ….. Note that Medicare pays claims with code G0473 only when …

    https://www.revenuecycleinc.com/pdf/RCI_Website_CY2015_ProposedRuleSummaryHOPPSRadOnc_7.7.2014.pdf
    CY2015 Proposed Rule for Radiation Oncology – HOPPS
    Jul 7, 2014 … Conversion Factor – proposed for CY 2015 $74.176 … proposed rule for
    hospitals paid under IPPS and OPPS as a source for the … o Treatment of add-on
    codes – proposed to be assigned Status …. Medicare is also proposing to use the
    proposed Inpatient Prospective Payment System (IPPS) wage index.

    http://www.acr.org/~/media/ACR/Documents/PDF/News/2014%20HOPPS%20Proposed%20Rule%20Summary.pdf
    2014 HOPPS Proposed Rule Summary
    Jul 8, 2013 … comment period of the inpatient rule as well to express concerns and present …
    Usage of this proposed data would not only cut hospital outpatient … (4)
    Procedures described by add-on codes; … (6) Diagnostic tests on the bypass list;
    and … is contemplating a proposal for CY 2015 that would conditionally …

    http://www.wpsmedicare.com/j5macparta/news/current-communique/_files/2014-fall-cq.pdf
    Fall 2014 Part A Communique – WPS
    Dec 1, 2014 … 2015 Annual Update to the Therapy Code List (MM 8985) . … for Cost Based
    Payment CRNAs Services Furnished by OPPS … Use of CARC and RARC Rule –
    Update from CAQH CORE (MM … Pub 100-03, Chapter 1, Language-only
    Update (Revised MM …. Therapy Cap Values for CY 2015 (MM 8970) .

    http://mptrms.mckesson.com/rs/MckessonPT/images/FY15PFSfinalRulingENT.pdf
    Centers for Medicare & Medicaid Services (CMS … – McKesson
    Dec 3, 2014 … Expansion Exception; Physician Certification of Inpatient Hospital … use only,”
    and it is not intended to provide legal advice or counseling on …. CY 2015, they
    finalized the proposed rule to implement the third … In the proposed rule, CMS
    proposed to add the following services to the list of services that can.

    https://www.cookmedical.com/wp-content/uploads/2014/12/RG_RFCRG_RE_201501.pdf?905860
    Biodesign Fistula Plug – Rectovaginal Fistula 2015 – Cook Medical
    Table A – Assorted Reference Service CPT Codes CY 2015 … (ambulatory
    surgery center vs. hospital outpatient vs. hospital inpatient); and … (OPPS).
    Medicare updates its list of “approved” procedures annually. Each of … According
    to CMS: … Program; Changes to the OPPS and Calendar Year 2006 Rates; Final
    Rule.

    http://www.cap.org/apps/docs/advocacy/comments/cap-2015-fee-schedule-comments.pdf
    CAP detailed – College of American Pathologists
    Aug 29, 2014 … for CY 2015; Proposed Rule (July 11, 2014) … maintain accurate payment”, that it
    would be appropriate to use only one “G” code to … cytoplasmic, or nuclear
    marker, technical component only; each additional marker (List … The CAP and
    CMS agree that “the comparison of OPPS (or ASC) payment amounts …

    http://www.mass.gov/eohhs/docs/eohhs/healthcare-reform/updates/2014/141117.pdf
    November 17, 2014 – Mass.Gov
    Nov 17, 2014 … surgical center (ASC) payment system for CY 2015. According to CMS, the rule
    implements changes to move from a hospital OPPS and fee …

    http://hfmanj.org/images/downloads/Presentation/hfma_nj_compliance_hot_topics_presentation_mar_10__2015.pdf
    Hot Topics in Compliance Recent … – HFMA NJ Chapter
    Mar 10, 2015 … during CY 2012 through 2017 if CMS reduces hospital outpatient … According to
    BNA's Health Care Fraud Report, the following are the top … repayment rule …
    Top 10 Health Care Fraud Issues in 2015 ….. Medicare paid for inpatient hospital
    services only if a physician ….. Other OPPS changes to watch for.

    http://www.acla.com/wp-content/uploads/2013/12/082913-Letter-to-Marilyn-Tavenner-regarding-PFS-Comments-.pdf
    See Original PDF here. – American Clinical Laboratory Association
    Using OPPS and ASC Rates in Developing PE RVUs for Codes with Higher Total
    …. Medicare should pay only a reasonable amount for any service, but it strains …
    about 30 percent in the CY 2013 PFS final rule, yet the Agency now seems to
    have ….. 2015 PFS, CMS would review certain codes on the CLFS to determine …

    https://www.facs.org/ahp/cy-2013-opps-asc-comment-letter.pdf
    CY 2013 ACS OPPS/ASC Comment Letter – American College of …
    Aug 31, 2012 … calendar year (CY) 2013 proposed rule: Hospital Outpatient Prospective … that
    involve not only angioplasty, but also stent placement. … We urge CMS to add the
    codes below to the inpatient list because they should …. According to the CMS
    Medicare …. 2014 OQR Measure; ASC-7: 2015 ASCQR Measure).

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