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In response to the comment that stated that the Complex Organization Adjustment does not account for unique circumstances faced by ACOs that serve a high proportion of beneficiaries, we note that, while the methodology for the health equity adjustment and the Complex Organization Adjustment differ, both adjustments aim to upwardly adjust an ACO's quality score for purposes of determining whether an ACO met quality performance standard
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Ask the seller whether any required step remains incomplete. Confirm the actual recorded outcome against the agreed resolution.
Describe what you expected and what remains unclear. If the stated response period passes, follow the seller's published follow-up route.
Look at any explanation placed near the qualified claim. Check whether different versions have different limits or starting values.
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