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Once the z-track technique is in place, take your dominant hand and quickly insert the needle at a 90 angle into the skin

We also proposed certain adjustments to Shared Savings Program benchmark calculations to account for the impact of identified improper payments, in the event a performance year for which we issue a revised initial determination becomes a benchmark year of an ACO's current agreement period, and when CMS has not yet issued an initial determination for a performance year of the ACO's current agreement period (described in section III.G.7.c.(2).(d) of the proposed rule)

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