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AAFP Letter to CMS on Acupuncture for Low-back Pain - August 7, 2019

...August 7, 2019 Tamara Syrek Jensen, JD, Director, Coverage and Analysis Group Centers for Medicare and Medicaid Services Department of Health and Human Services 7500 Security Blvd., Mail Stop S3-02-01 Baltimore, MD 21244-1850 Dear Director Jensen: On behalf of the American Academy of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-CMS-Acupuncture-080719.pdf

AAFP Letter to HHS Requesting Information on Drug Prices - July 16, 2018

...July 16, 2018 Alex M. Azar II, Secretary U.S. Department of Health and Human Services 200 Independence Ave. SW, Room 600E Washington, DC 20201 Dear Secretary Azar: On behalf of the American Academy of Family Physicians (AAFP), which represents 131,400 family physicians and medical...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-HHS-DrugPrices-071618.pdf

AAFP Testimony to House Appropriations Labor HHS on FY 2020 Priorities - March 28, 2019

...John Cullen, MD, FAAFP-President, American Academy of Family Physicians Written Testimony to the House Appropriations Subcommittee on Labor, Health and Human Services, and Education, and Related Agencies - Fiscal Year 2020 The American Academy of Family Physicians (AAFP)...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/TS-HouseAppLabor-FY2020Priorities-032819.pdf

Joint Letter to CMS on the MSSP Application Date - January 18, 2018

...January 18, 2019 The Honorable Seema Verma Administrator Centers for Medicare and Medicaid Services U.S. Department of Health and Human Services Hubert H. Humphrey Building, Room 445-G 200 Independence Avenue, SW Washington, DC 20201 Re: Extending the Medicare Shared Savings Program...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/delivery/acos/LT-CMS-MSSPAppDeadline-011819.pdf

Joint Letter to CMS on ACO Provisions in Two IFCs - May 14, 2020

...1 May 14, 2020 Ms. Seema Verma Administrator Centers for Medicare and Medicaid Services U.S. Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, S.W. Washington, DC 20201 Re: Supporting ACOs in Response to COVID-19 (CMS-1744-IFC and...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/delivery/acos/LT-CMS-COVIDIFCs-051420.pdf

AAFP Testimony to Senate Appropriations Labor HHS on FY 2020 Priorities - April 12, 2019

...John Cullen, MD, FAAFP-President, American Academy of Family Physicians Outside Witness Testimony to the Senate Appropriations Subcommittee on Labor, Health and Human Services, and Education, and Related Agencies Fiscal Year 2020 - April 12, 2019 The American Academy of Family...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/TS-SenateAppLaborHHS-FY2020Priorities-041219.pdf

Letter to Senate HELP Committee on Innovation - November 28, 2018

...November 28, 2018 The Honorable Lamar Alexander The Honorable Patty Murray Chairman, U.S. Senate Committee on Ranking Member, U.S. Senate Committee Health, Education, Labor, and Pensions on Health, Education, Labor, and Pensions Washington, DC 20510 Washington, DC 20510 Dear Chairman...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/delivery/acos/LT-SenateHELP-HealthCareInnovationHearing-112818.pdf

Joint Letter to CMS Urging Accelerated CPC+ Payments During COVID-19 Pandemic - March ...

...March 29, 2020 The Honorable Seema Verma Administrator Centers for Medicare and Medicaid Services US Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, DC 20201 The Honorable Brad Smith Deputy Administrator and Director...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/delivery/medhome/LT-CMS-CPCPlusAdvancement-032920.pdf

Joint Letter to Senators Cortez Masto and Roberts on the Rural ACO Improvement Act ...

...October 22, 2019 The Honorable Catherine Cortez Masto United States Senate 516 Hart Senate Office Building Washington, DC 20510 The Honorable Pat Roberts United States Senate 109 Hart Senate Office Building Washington, DC 20510 Dear Senators Cortez Masto and Roberts, On behalf...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/delivery/acos/LT-SensCortezMastoRoberts-RuralGlitch-10222019.pdf

AAFP Letter to CMS Asking for More Timely Discharge Summaries - July 13, 2020

...July 1, 2020 The Honorable Seema Verma Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services 200 Independence Avenue, SW Washington, DC 20201 Dear Administrator Verma: I am writing on behalf of the American Academy of Family Physicians...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/delivery/medhome/LT-CMS-PetitionTimelyDischargeSummaries-071320.pdf

AAFP Response to CMS on Ruture of Program Integrity - November 20, 2019

...November 20, 2019 Alec Alexander, Deputy Administrator and Director Center for Program Integrity Centers for Medicare and Medicaid Services Department of Health and Human Services 200 Independence Avenue SW Washington, DC 20201 Dear Deputy Administrator Alexander: On behalf of the...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/emr/LT-CMS-FutureProgramIntegrity-112019.pdf

AAFP Response to CMS on Using Advanced Technology in Program Integrity - November 20, 2019

...November 20, 2019 Alec Alexander, Deputy Administrator and Director Center for Program Integrity Centers for Medicare and Medicaid Services Department of Health and Human Services 200 Independence Avenue SW Washington, DC 20201 Dear Deputy Administrator Alexander: On behalf of the...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/emr/LT-CMS-UsingAdvTechProgramIntegriy-112019.pdf

AAFP Letter to HHS on the Interoperability and Patient Access Proposed Rule - June 3, 2019

...June 3, 2019 Alex M. Azar II, Secretary Department of Health and Human Services Office of the National Coordinator for Health Information Technology Mary E. Switzer Building Mail Stop: 7033A 330 C Street SW Washington, DC 20201 Dear Secretary Azar: On behalf of the American Academy of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/emr/LT-HHS-Interoperability-060319.pdf

Joint Letter on Application Programming Interfaces - September 11, 2019

...September 11, 2019 The Honorable Lamar Alexander Chair Committee on Health, Education, Labor and Pensions 428 Senate Dirksen Office Building Washington, DC 20510 The Honorable Frank Pallone Jr. Chair Committee on Energy and Commerce 2125 Rayburn...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/emr/LT-House-ApplicationProgrammingInterfaces-091119.pdf

AAFP Letter to OCR Regarding Burdens Associated with HIPAA Privacy and Security ...

...February 12, 2019 Alex M. Azar II, Secretary U.S. Department of Health and Human Services Office for Civil Rights Attention: RFI, RIN 0945-AA00 Hubert H. Humphrey Building, Room 509F 200 Independence Avenue SW, Washington, DC 20201 Dear Secretary Azar: On behalf of the American Academy...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/emr/LT-OCR-HIPAA-RFI-021219.pdf

Joint Letter to ONC on Information Blocking - August 6, 2018

...August 6, 2018 Donald Rucker, MD National Coordinator Office of the National Coordinator for Health Information Technology Department of Health and Human Services 330 C St SW, Floor 7 Washington, DC 20201 Daniel R. Levinson Inspector General Department of Health and Human Services...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/emr/LT-ONC-InfoBlocking-080618.pdf

AAFP Letter to ONC on EHR Administrative Burdens - January 28, 2019

...January 28, 2019 Donald Rucker, MD, National Coordinator for Health IT Department of Health and Human Services Office of the National Coordinator for Health Information Technology Mary E. Switzer Building Mail Stop: 7033A 330 C Street SW Washington, DC 20201 Dear Dr. Rucker: On behalf...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/emr/LT-ONC-RegRelief-012819.pdf

AAFP to ONC on the EHR Reporting Program - October 17, 2018

...October 17, 2018 Donald Rucker, MD, National Coordinator for Health IT Department of Health and Human Services Office of the National Coordinator for Health Information Technology Attention: EHR Reporting Program Request for Information Mary E. Switzer Building Mail Stop: 7033A 330 C...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/emr/LT-ONC-RFI-101718.pdf

AAFP Letter on Draft 2 of the Trusted Exchange Framework and Common Agreement (TEFCA) -...

...June 3, 2019 Donald W. Rucker, MD National Coordinator for Health Information Technology Department of Health and Human Services 330 C Street SW Washington, DC 20201 Dear Dr. Rucker, On behalf of the American Academy of Family Physicians (AAFP), which represents 134,600 family...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/emr/LT-ONC-TEFCAComments-060319.pdf

Joint Letter to CMS on Payment Concerns Regarding Telephone Calls During COVID-19 ...

...April 8, 2020 Seema Verma Administrator Centers for Medicare and Medicaid Services U.S. Department of Health and Human Services 200 Independence Avenue SW Washington, DC 20201 Dear Administrator Verma: The undersigned organizations applaud the actions taken by CMS to date to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/LT-CMS-PaymentConcernsRegardingTelephoneCalls-040820.pdf

AAFP Letter to CMS Asking for Telehealth Codes to be Added to Medicare Program - March ...

...March 26, 2020 The Honorable Seema Verma Administrator Centers for Medicare and Medicaid Services Washington, DC 20201 Dear Administrator Verma: As the SARS-CoV-2 pandemic continues to spread and more Americans become infected with the COVID-19 virus, it is imperative that our...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/LT-CMS-TelephoneVisitCodes-032520.pdf

Joint Letter to DEA on Special Telehealth Regulations - October 26, 2020

...October 26, 2020 The Honorable Timothy Shea Acting Administrator Drug Enforcement Administration (DEA) Lincoln Place-West, 700 Army Navy Drive Arlington, VA 22202 Dear Administrator Shea: The undersigned organizations write to encourage the Drug Enforcement Administration (DEA)...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/LT-DEA-SpecialTelemedicineRegistration-102620.pdf

AAFP Letter to the FCC on Telehealth in Rural America - January 31, 2018

...January 31, 2018 Secretary Marlene H. Dortch FCC Reference Center, Room CY-A257 445 12th Street SW Washington, DC 20554 Re: Promoting Telehealth in Rural America, WC Docket No. 17-310 Dear Secretary Dortch: On behalf of the American Academy of Family Physicians (AAFP), which represents...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/LT-FCC-RuralTelehealth-013118.pdf

AAFP Letter to the FCC on a Proposed Pilot for Telehealth - August 28, 2019

...August 28, 2019 Marlene Dortch, Secretary FCC Headquarters 445 12th St. SW Room TW-A325 Washington, DC 20554 Dear Secretary Dortch: On behalf of the American Academy of Family Physicians (AAFP), which represents 134,600 family physicians and medical students across the country, I write...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/LT-FCC-TelehealthPilot-082819.pdf

AAFP Letter supporting Telehealth Expansion Act - July 22, 2020

...July 22, 2020 The Honorable Ron Wyden U.S. Senate Washington, DC 20510 Dear Senator Wyden: On behalf of the American Academy of Family Physicians (AAFP), which represents 136,700 family physicians and medical students across the country, I write to share our organization’s support for...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/LT-Wyden-TelehealthExpansionAct-072220.pdf

AAFP Statement - Health Insurance Companies Need to Expand Coverage and Payment of ...

...AAFP Calls on Health Insurance Companies to Expand Coverage and Payment of Telehealth, Virtual Check-ins and E-visits The American Academy of Family Physicians (AAFP) calls on Congress to require that all health insurance plans, including employer-sponsored plans regulated by the...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/ST-TelemedicineVirtualCareCoveragePayment-031720.pdf

AAFP Backgrounder - Maintenance of Certification

...MAINTENANCE OF CERTIFICATION Background Board certification is a voluntary process administered by specialty boards under the American Board of Medical Specialties (ABMS) and acts as an indicator of physician quality and safety in a specialty medical field. Previously, many board...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/BKG-MOC.pdf

AAFP Backgrounder: Prior Authorization and Step Therapy

...PRIOR AUTHORIZATION AND STEP THERAPY AAFP Recommendation The American Academy of Family Physicians (AAFP) calls on prior authorizations to be standardized and universally electronic to promote efficiency and reduce physician administrative complexity. The manual, time-consuming...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/BKG-PriorAuthorization.pdf

AAFP Response to CMS on Administrative Burdens - August 7, 2019

...August 7, 2019 Seema Verma, Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-6082-NC P.O. Box 8016 Baltimore, MD 21244-8016 Dear Administrator Verma: On behalf of the American Academy of Family Physicians (AAFP), which...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-CMS-AdminSimp-080719.pdf

AAFP Letter to CMS on Prior Authorizations in Medicare Advantage Plans - February 19, 2019

...February 28, 2019 The Honorable Seema Verma Administrator Centers for Medicare and Medicaid Services U.S. Department of Health and Human Services Hubert H. Humphrey Building, Room 445-G 200 Independence Avenue, SW Washington, DC 20201 Dear...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-CMS-PriorAuthMedicareAdvantage-021919.pdf

Joint Letter to Congress Supporting the Improving Seniors’ Timely Access to Care Act of...

...September 9, 2019 Dear Members of Congress: The undersigned patient, physician, health care professional, and other health care stakeholder organizations strongly support the Improving Seniors’ Timely Access to Care Act of 2019 (H.R. 3107) recently introduced...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-Congress-HR3107SignOn-090919.pdf

Joint Letter to the House Ways and Means Leadership on Surprise Billing - February 7, 2019

...February 7, 2019 The Honorable Richard E. Neal Chairman Committee on Ways and Means 1102 Longworth House Office Building Washington, DC 20515 The Honorable Kevin P. Brady Ranking Member Committee on Ways and Means 1139E Longworth House Office Building Washington, DC 20515 Dear...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-WaysMeans-SurpriseBilling-020719.pdf

Prepared Comments from AAFP President for the CMS Administrator Roundtable on ...

...Prepared Comments | Michael Munger, MD - President, AAFP CMS Administrator Roundtable on Administrative Burden Thursday, October 26, 2017 | 11:00 am Good morning. My name is Michael Munger. I am a practicing family physician in Overland Park, Kansas and the President of the...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/TP-CMSAdminRoundTable-AdminReform-102317.pdf

AAFP Backgrounder: Legislative Interference

...LEGISLATIVE INTERFERENCE AAFP Position The AAFP opposes governmental interference in the physician-patient relationship, which places political and other concerns over the ethical obligations physicians have toward their patients.1 Physicians largely remain committed to ensuring...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/BKG-LegislativeInterference.pdf

AAFP Backgrounder: Pharmacy Gag Clauses

...PHARMACY GAG CLAUSES AAFP Position The American Academy of Family Physicians (AAFP) supports a variety of measures to increase transparency and promote affordability of critical medications. The AAFP recognizes the potential of affordable generic medications as a cost-effective...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/health/BKG-PharmacyGagClauses.pdf

AAFP Backgrounder: Medical Liability

...MEDICAL LIABILITY REFORM Recommendation The American Academy of Family Physicians (AAFP) recognizes the trust that patients invest into their relationships with their family physicians. Medical liability laws exist to allow patients to seek recompense when physicians or other...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/liability/BKG-MedicalLiability.pdf

Joint Letter in Support of COVID-19 Liability Reforms- May 27, 2020

...May 27, 2020 TO THE MEMBERS OF THE UNITED STATES CONGRESS: The undersigned organizations urge you to quickly enact temporary and targeted liability relief legislation related to the COVID-19 pandemic. These crucial protections should safeguard businesses, non-profit...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/liability/LT-Congress-LiabilityProtectionsCOVID19-052720.pdf

AAFP Letter to House Supporting the Protecting Access to Care Act - March 23, 2017

...March 23, 2017 The Honorable Steve King United States House of Representatives Washington, D.C. 20515 Dear Representative King: On behalf of the 124,900 physicians and medical students nationwide who are members of the American Academy of Family Physicians, I am writing you to express...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/liability/LT-House-HR1215-032317.pdf

AAFP Backgrounder - Drug Pricing and Transparency

...DRUG PRICING AND TRANSPARENCY AAFP Position The American Academy of Family Physicians (AAFP) advocates for legislation ensuring the availability of effective, safe and affordable medications through policies that provide governmental authority to promote competition and...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/transparency/BKG-PharmaceuticalPricingTransparency.pdf

AAFP Summary of the 2020 final Outpatient Perspective Payment System - November 6, 2019

...AAFP Summary of key provisions in the 2020 Final Outpatient Prospective Payment System On November 1, 2019, the Centers for Medicare and Medicaid Services (CMS) released a final rule with comment period titled Changes to Hospital Outpatient Prospective Payment and Ambulatory...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/transparency/ES-2020FinalOPPS-110619.pdf

Congressional Primary Care Caucus List - May 2021

...Congressional Primary Care Caucus Membership (as of May 2021) 1) Joe Courtney, Co-Chair (D-CT) 2) David Rouzer, Co-Chair (R-NC) 3) Robert Aderholt (R-AL) 4) Ami Bera (D-CA) 5) Earl Blumenauer (D-OR) 6) Lisa Blunt Rochester (D-DE) 7) Suzanne Bonamici (D-OR) 8)...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/misc/CongressionalPrimaryCareCaucusList.pdf

AAFP FAQ on All-Payer Claims Database (APCD)

...What is an All-Payer Claims Database (APCD)? APCDs are statewide health insurance claims data repositories. They are used to collect health insurance claims information from the vast majority of health care payers in a state. Once collected, the data may be released to organizations for...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/APCD-FAQ.pdf

AAFP Backgrounder: Primary Care Spend

...PRIMARY CARE SPEND What is Primary Care? Primary care is the essential foundation of a successful, sustainable health care system and is provided by physicians specifically trained for and skilled in comprehensive first contact and continuing care for persons with any undiagnosed...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/BKG-PrimaryCareSpend.pdf

CPC+ Practice Sign-on Letter to CMMI - May 14, 20201

...May 14, 2021 Elizabeth Fowler, JD, PhD Director, Center for Medicare and Medicaid Innovation Centers for Medicare and Medicaid Services Department of Health and Human Services Baltimore, MD 21244 Re: Sunset of Comprehensive Primary Care Plus Dear Dr. Fowler: On behalf of the 167...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/CPC+PracticeLetter-051421.pdf

AAFP and VTAFP Letter in Support of VT HB 89 and SB 53 - February 12, 2019

...February 12, 2019 The Honorable Tim Ashe President Pro Tempore Senate 115 State Street Montpelier, VT 05633 The Honorable Virginia Lyons Chair Senate Committee on Health and Welfare 115 State Street Montpelier, VT 0563 Dear Senators, On behalf of the American Academy of Family...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-AsheLippert-Vermont-021219.pdf

AAFP Response to the Direct Contracting Geographic PBP Request for Information - May ...

...May 20, 2019 Seema Verma, Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services 200 Independence Avenue SW Washington, DC 20201 Dear Administrator Verma, On behalf of the American Academy of Family Physicians (AAFP), which represents 134,600...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMMI-DirectContracting-052019.pdf

Joint Letter to CMS on APM Bonus Payments - September 16, 2019

...September 16, 2019 Seema Verma Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services 7500 Security Boulevard Baltimore, MD 21244-1850 Dear Administrator Verma: We, the nine undersigned organizations, write to express our strong concern with the...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMS-APMBonusPayments-091619.pdf

AAFP Letter to CMS Regarding CPC+ 2017 PBIP Performance Reports - October 12, 2018

...October 12, 2018 Seema Verma, Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-1701-P P.O. Box 8016 Baltimore, MD 21244-8016 Dear Administrator Verma: On behalf of the American Academy of Family Physicians (AAFP),...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMS-CPC-PBIP-101218.pdf

AAFP Letter Responsing to CMS RFI on Direct Provider Contracting - May 25, 2018

...May 25, 2018 Seema Verma, Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services 200 Independence Avenue SW Washington, DC 20201 Dear Administrator Verma, On behalf of the American Academy of Family Physicians (AAFP), which represents 131,400...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMS-DirectProviderContracting-052518.pdf

AAFP Letter in Response to CMS on Physician Self-Referral Regulations - December 27, 2019

...December 27, 2019 Seema Verma, Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services 200 Independence Avenue SW Washington, DC 20201 Dear Administrator Verma, On behalf of the American Academy of Family Physicians (AAFP), which represents...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMS-PhysicianSelfReferralRegulations-122719.pdf

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