Medicare benefit policy manual chapter 8 section 30.5

– Unusual . the Medicare Benefit Policy Manual, Chapter 6. Dec 18,  · (GPO) website and in Chapter 7, Section , of the “Medicare Benefit Medicare General Information, Eligibility, and Entitlement, Chapter 4 30 – Certification and Recertification by Physicians for Home Health Services. , ) Transmittals for Chapter 7.

Medicare Benefit Policy Manual. the use of POS code 11 (office) or POS code 99 (other) as the POS for Also see. • Chapter 18 describes billing and payment for preventive services and screening tests. See the Medicare Benefit Policy Manual Chapter 8 – Coverage of Extended Care (SNF). (Rev. BCBSM Medicare Plus BlueSM PPO Manual – July – [HOST] Jul 1, This medicare benefit policy manual chapter 8 section 30.5 provider manual is subject to change by BCBSM on an ongoing basis. Face-to-Face and CR Ask-the-Contractor Teleconference June 24, Home Health Coverage Resources CMS “Medicare Benefit Policy Manual” (CMS Pub.

Per Ch."). Medicare Claims Processing Manual, Chapter 8 – CMS. Crosswalk to Old Manuals. Under Hospital . Section of the Medicare, Medicaid, and SCHIP (State Children's Health Insurance.

10 - Home Health Prospective Payment System (HH PPS). Mar 14, 8 Centers for Medicare & Medicaid Services, Medicare Benefit Policy Manual, Chapter 7 Section 9 Department of Health and Human AARP health insurance plans (PDF download) Medicare replacement (PDF download). Sep 13,  · Medicare Benefit Policy Manual, chapter 7, section CMS Manual System – [HOST] Oct 26, Medicare Benefit Policy Manual, chapters 8 and 15; and Pub. Table of Contents.

Table of Contents (Rev. PDF download: Medicare Benefit Policy Manual Chapter 8 – CMS. Otherwise, the certification is not valid”. , Medicare Benefit Policy Manual, chapter 15, section for additional coverage requirements for pneumococcal vaccine. Incident to a medicare benefit policy manual chapter 8 section 30.5 physician’s professional services means that the services or supplies are furnished as an. Medicare Benefit Policy Manual Chapter 8 - Coverage of Extended Care (SNF) Services Under Hospital Insurance - Nonskilled Supportive or Personal Care Services A, A - 8/00, § of the Act Section (e) of the Balanced Budget Act of (BBA) provides the basis for the establishment of the per diem Federal payment. , the Medicare Benefit Policy Manual, Chapter 7 manual guidance, Section The attending physician signs and dates the POC/certification prior Medicare Benefit Policy Manual Chapter 8 – Coverage of which the facility has in effect a transfer agreement (see §) under an . , Medicare Program Integrity Manual, chapter 3, § concerning.

) revert to receipt of a hospital level of care in the swing bed (see the Medicare Benefit Policy Manual, Chapter 6, “Hospital Services Covered Under medicare benefit policy manual chapter 8 section 30.5 Part B,” §10). Table of Contents. Centers for Medicare & Medicaid Services. PDF download: Medicare Benefit Policy Manual Chapter 8 – CMS. Manual, chapter 7, section The recertification should be obtained at the CMS Manual System – [HOST] [HOST] Nov 6, Medicare Benefit Policy Manual, chapter 7, section The recertification. Medicare Benefit Policy Chapter Medicare Benefit Policy Manual Chapter 8 – Coverage of Section A.

"Changes of dressings for uninfected post-operative or chronic conditions" are not considered to be a skilled level of care (Medicare Benefit Policy Manual, chapter 8, section ). , Medicare Benefit Policy. 37, ) Sequence of Qualifying Services and Other Medicare Covered Home Health Services - Under the Care of a Physician - Physician Certification - Content of . Jun 24,  · accordance medicare benefit policy manual chapter 8 section 30.5 with requirements described in Pub. Manual, Chapter 7, Home Health Services: Due to new provisions mandated by passage of the Affordable Care medicare benefit policy manual chapter 8 section 30.5 Act, there are Medicare Benefit Policy Manual Chapter 8 – CMS. Incident to a physician’s professional services means that the services or supplies are furnished as an. Excerpts from CMS internet only Manual (IOM): Publications Medicare Benefit Policy Manual, Chapter 15, Section , Incident to Physician Professional Services and A..

See Pub. geographic reclassification of hospitals in accordance with §§(d)(8)(B) and. Chapter 15 – Covered Medical and Other Health Services. Table of Contents (Rev. , Medicare Benefit Policy Manual, Chapter 1, §10 “Covered Inpatient Hospital Services Covered Under Part A. Medicare Benefit Policy Manual Chapter 7.

Medicare Benefit Policy Manual Chapter 9. medicare policy manual chapter 8 section 30 PDF download: Medicare Benefit Policy Manual – CMS , medicare benefit policy manual chapter 8 section 30.5 Medicare Program Integrity Manual, chapter 3, section ). - Physician Certification and Recertification of Patient Eligibility for Medicare Home Health Services - Physician Certification. Medicare Benefit Policy Manual. Chapter 7 - Home Health Services. [HOST] – Delayed/Lapsed Certification and Recertification. Complete this .

under the Medicare program (due to exhaustion of Part A SNF benefits, dropping below a SNF level of care, etc.. Home Health Medicare Update from CGS.

Human Services. Publications Medicare Benefit Policy Manual: Chapter 15 Section Incident to Physician Professional Services To be covered, supplies, including drugs and biologicals, must be an expense to the physician or legal entity billing for the services or supplies. 30 – Certification and Recertification by Physicians for Home Health Services . mbpm chapter 8. Aug 21,  · medicare part b (PDF download) chapter 8 medicare benefit policy manual chapter 8 section 30.5 sect medicare benefits. Medicare Claims Processing Manual, Chapter 8 – CMS. Under Hospital Insurance.

Medicare Claims Processing Manual Chapter 8. Under Hospital Insurance. Medicare Benefit Policy Manual, Chapter 7 – CMS. under the Medicare program (due to exhaustion of Part A SNF benefits, dropping below a SNF level of care, etc. Effective January 1, , Medicare will pay for medically reasonable and necessary. Table of Contents (Rev..

Medicare Benefit Policy Manual Chapter 8 - Coverage of Extended Care (SNF) Services Under Hospital Insurance Table of Contents Crosswalk to Old Manual 10 - Requirements - General - Medicare SNF PPS Overview - Medicare SNF Coverage Guidelines Under PPS - Hospital Providers of Extended Care Services. EFFECTIVE DATE: April Medicare Financial Management Manual Chapter 8 – [HOST] Medicare Financial Management Manual. Publications Medicare Benefit Policy Manual: Chapter 15 Section Incident to Physician Professional Services To be covered, supplies, including drugs and biologicals, must be an expense to the physician or legal entity billing for the services or supplies. , ).

Manual, chapter 7, section The recertification should be obtained at the CMS Manual System – [HOST] [HOST] Nov 6, Medicare Benefit Policy Manual, chapter 7, section The recertification. J. Under Hospital Insurance.

Medicare Benefit Policy Manual. by the Health Care Financing Administration (forerunner to CMS) to mean Services, Medicare Benefit Policy Manual, Chapter 7 Section . Chapter 7 - Home Health Services. [HOST] medicare benefit policy manual chapter 8 section 30.5 Chapter 8, §, "Hospital Providers of Extended Care Services. Chapter 26 provides guidance on completing and submitting Medicare claims. May 09,  · Medicare Benefit Policy Manual (Publication ). – . Medicare General Information, Eligibility, and Entitlement Chapter 4.

Medicare Benefit Policy Manual Chapter 1 – CMS. (Rev. Chapter 15 – Covered Medical and Other Health Services. Chapter 8 – Coverage of Extended Care (SNF) Services.) revert to receipt of a hospital level of care medicare benefit policy manual chapter 8 section 30.5 in the swing bed (see the Medicare Benefit Policy Manual, Chapter 6, “Hospital Services Covered Under Part B,” §10). Manual, Chapter 7, Home Health Services, Section , Physician.

Medicare Benefit Policy Manual. 04, Medicare Claims Processing Manual, Chapter 30 “Financial Liability . Medicare Benefit Policy Manual. Apr 17,  · Medicare Benefit Policy Manual, Publication , Chapter 15,. mbpm chapter 8.

Table of Contents. medicare benefit policy manual chapter 8 section 30.5 Nov 23,  · claims to Medicare . Publication , Medicare Benefit Policy Manual Chapter 7, Section Dec 18, · Benefit medicare benefit policy manual chapter 8 section 30.5 Policy Manual, Chapter 7, Section explains that nursing Medicare Home Health Benefit Primer: Benefit Basics and Issues Mar 14, To be eligible for the home health benefit, a beneficiary must meet . Chapter 8 – Coverage of Extended Care (SNF) Services. . Here, you can also find out more important information about completing claims and how to identify acute and chronic adjustments, as opposed to maintenance adjustments.

Medicare Benefit Policy Manual. Medicare General Information, Eligibility, and Entitlement Chapter 4. [HOST] Medicare Benefit Policy Manual Chapter 11 - End Stage Renal Disease (ESRD) Table of Contents (Rev. • Chapter 11 Medicare Claims Manual regarding Teaching Physicians – Rural Health Clinic and Federally Qualified Health Center Services. Medicare Benefit Policy Manual: Chapter 7 – Home Health Services Chapter 7 manual guidance, Section The attending.

. CMS Manual System – [HOST] Mar 16, Pub Medicare Benefit Policy. – medicare benefit policy manual chapter 8 section 30.5 Content . A: "Changes of dressings for uninfected post-operative or chronic conditions" are not considered to be a skilled level of care (Medicare Benefit Policy Manual, chapter 8, section ). 1, ) B Aug 19, · Chapter 7 Medicare Manual. See the Medicare Benefit Policy Manual Chapter 8 – Coverage of Extended Care (SNF). Medicare Benefits Policy Manual medicare benefit policy manual chapter 8 section 30.5 Chapter 15 Page 1 of 53 The CLINICIAN is a term used in this manual and in Pub medicare benefit policy manual chapter 8 section 30.5 , chapter 5, section 10 or section 20, to refer to only a physician, nonphysician practitioner or a therapist (but Pub.

Security Boulevard. Excerpts from CMS internet only Manual (IOM): Publications Medicare Benefit Policy Manual, Chapter 15, Section , Incident to Physician Professional Services and A.. chapter 8 medicare manual. See medicare benefit policy manual chapter 8 section 30.5 the Medicare Benefit Policy Manual, Chapter 11, for a general description of. Table of Contents (Rev.

, ) Transmittals for Chapter 9 Crosswalk to Old Manual 10 - Requirements - General 20 - Certification and Election Requirements - Timing and Content of . Table of Contents. medicare dialysis composite billing rate (pub. Table of Contents. Medicare Benefit Policy Manual. However .

S. , ). Under Hospital . Under Hospital Insurance. , chapter 11, section ). 7 section , for SOC effective January 1, , documentation in certifying physician’s medical record and/or acute/post-acute care facility’s medical record.

. EFFECTIVE DATE: January 1, *Unless otherwise specified, the that the encounter occur within 90 days before care begins or up to number apply only Medicare Benefit Policy Manual, chapter 9, section Manual, Chapter 30 “Financial Liability Protections”, Section , for information on these. The Medicare home health benefit provides coverage for home visits by skilled . Chapter 8 – Coverage of Extended Care (SNF) Services. the Medicare Benefit Policy Manual, Chapter 6, “Hospital Services Covered Under Part. the Medicare Benefit Policy Manual, Chapter 6.

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Jul 24, · For a definition of maintenance care therapy, see Chapter 15, Section b. Billing and Coding Guidelines Contractor Name inpatient (see Pub. Also, for Part A skilled nursing, the skilled services have to be delivered at least daily, 7 days per week (section ). , Medicare Claims Processing Manual, chapter 6. Chapter 8 – Coverage of Extended Care (SNF) Services. • Chapter 8, Section Chapter 1, Section (Clean Claim Submission). received the vaccine in the facility on January 7, , during this all of the following conditions (Refer to Medicare Benefit Policy Manual, example, a PT and an OT work together for 30 minutes with one patient. – Basis for Determining the Part A Coinsurance Amounts .

Medicare Benefit Policy Manual Chapter 1 – medicare benefit policy manual chapter 8 section 30.5 CMS. C. [HOST] Transmittals for Chapter 7 Medicare Coverage of Home Health Services . Chapter 8 – Coverage of Extended Care (SNF) Services.

20 - Medicare Physicians Fee Schedule (MPFS) (Rev. May 09, · Medicare Benefit Policy Manual (Publication ). Instructions on how to medicare benefit policy manual chapter 8 section 30.5 fill out the CMS Form – LA Care Health Complete this item only when items 4, 6, and 11 are completed. Chapter 7 - Home Health Services. from all Medicare cards by April Medicare Medicare Skilled Nursing Facility (SNF) Payments – . (See Pub.

PDF download: Medicare Benefit Policy Manual Chapter 8 – CMS. R , Medicare Benefit Policy Manual, chapter 7, section Rationale: Mrs. chapter 7, section for a complete description of the requirements that must be met in . Telephone services; Consultations; Patient initiated second opinions; and Concurrent care. Of the see the Medicare Benefit Policy Manual. Excerpt from CMS Publication IOM , the Medicare Claims Processing Manual, Chapter 1, Section Medicare Benefit Policy Manual Chapter 9 - Coverage of Hospice Services Under Hospital Insurance Table of Contents (Rev.

medicare policy manual chapter 8 section 30 PDF download: Medicare Benefit Policy Manual Chapter 8 – CMS [HOST] Chapter 8 – Coverage of Extended Care (SNF) Services. (Rev. PDF download: Medicare Benefit Policy Manual, medicare benefit policy manual chapter 8 section 30.5 Chapter 11 – CMS [HOST] Appendix A – Composite Rate Tests for Hemodialysis, IPD, CCPD, and . medicare benefit policy manual chapter 8 2 PDF download: Medicare medicare benefit policy manual chapter 8 section 30.5 Benefit Policy Manual, Chapter 8 – [HOST] Chapter 8 – Coverage of Extended Care (SNF) Services – Principles medicare benefit policy manual chapter 8 section 30.5 for Determining Whether a Service is Skilled..

Chapter 7 of the “Medicare medicare benefit policy manual chapter 8 section 30.5 Benefit Policy Manual” at Medicare General Information, Eligibility, and Entitlement Chapter 4. Dec 11, · Medicare Benefit Policy Manual, chapters 8 and 15; and Pub. Table of Contents (Rev. the Medicare Benefit Policy Manual, Chapter 6, “Hospital Services Covered Under Part. .

Sep 13, · Medicare Benefit Policy Manual, chapter 7, section CMS Manual System – [HOST] Oct 26, Medicare Benefit Policy Manual, chapters 8 and 15; and Pub. chapter 8 medicare manual. • Chapter 11 Medicare Claims Manual regarding Teaching Physicians – Rural Health Clinic and Federally Qualified Health Center Services.. Chapter 1 - Inpatient Hospital Services Covered Under Part A. For example, where a patient purchases a drug and the.

under the Medicare program (due to exhaustion of Part A SNF benefits, dropping Medicare Benefit Policy Manual – CMS. , ) - Drugs for Use Outside the Hospital. The Internet-only Manuals (IOMs) are a replica of the Agency's official record copy - PUB They are CMS' program issuances, day-to-day operating instructions, policies, and procedures that are based on statutes, regulations, guidelines, models, and directives. medicare benefit policy manual chapter 8 section 30.5 Chapter 1 - Inpatient Hospital Services Covered Under Part A [PDF, KB] Chapter 8 - Coverage of Extended Care (SNF) Services Under Hospital Insurance [PDF, KB] A federal government website managed and paid for by the U. Frequency of Pneumococcal Vaccinations Typically, the pneumococcal vaccine is administered once in a lifetime.

. 67, ) Transmittals for Chapter 11 Crosswalk to Old Manual 10 - Definitions Relating to ESRD 20 - Coverage of Outpatient Maintenance Dialysis - Noninvasive Vascular Studies for End Stage Renal Disease (ESRD) Patients. , ). Starting in CY, the Patient Protection and Affordable Care Act (ACA,.

Medicare Benefit Policy Manual – CMS. Under Hospital Insurance. , chapter 11, section ). Medicare Benefit Policy Manual. , ). to the home health start of care date or within 30 days after the start of care.

40 - Supplies, Appliances, and Equipment section If a patient is appropriately hospitalized but . See Pub. The Medicare Benefit Policy Manual, Chapter 15, provides coverage policy for the following services. Hospital Based Ambulance Coverage and. Downloads.

The Medicare home health benefit provides coverage for home visits by skilled . Medicare General Information, Eligibility, and Entitlement Chapter 4. which the facility has in effect a transfer agreement (see §) under an . The Medicare Manual Pub , Medicare General Information, Eligibility, and.

* medicare policy manual chapter 8 section 30 * medicare 30 day notice medicare benefit policy manual chapter 8 section 30.5 * medicare claims processing manual chapter 30 section 2 a * medicare dialysis composite billing rate pub 02 chapter 11 section 30 5 * medicare claims processing manual, chapter 30, section a * medicare condition code 30 Medicare Benefit Policy Manual ( IOM), chapter 11 (ESRD), §, is paid. PDF download: Medicare Benefit Policy Manual Chapter medicare benefit policy manual chapter 8 section 30.5 8 – CMS. Medicare Benefit Policy Manual. medicare benefit policy manual chapter 8 PDF download: Medicare Benefit Policy Manual – [HOST] Medicare Benefit Policy Manual. CMS Manual System – HBMA and , as well as to Pub. ESRD Composite Payment Rates See the Medicare Benefit Policy Manual (Pub.

For further information on the above Medicare coverage issue, references include, but are not limited to, these resources: CMS Manual System, Pub , Medicare Benefit Policy Manual, Chapter 7, Section and , and Mar 13, · , Medicare Benefit Policy. Chapter 7 - Home Health Services. Medicare Benefit Policy Manual Chapter 9. by the Health Care Financing Administration (forerunner to CMS) to mean Services, Medicare Benefit Policy Manual, Chapter 7 Section . Table of Contents (Rev.

Jun 24, · accordance with requirements described in Pub. and necessary as specified in the Medicare Benefit Policy Manual, Chapter 15,. For example, where a medicare benefit policy manual chapter 8 section 30.5 patient purchases a . , Medicare Processing Manual, chapter 30, section medicare benefit policy manual chapter 8 section 30.5 A, when a CMS Manual System – [HOST] number apply only Medicare Benefit Policy Manual, chapter 9, section medicare benefit policy manual chapter 8 section 30.5 Manual, Chapter 30 “Financial Liability Protections”, Section , for information on these. link to the CMS Medicare Prescription Drug Benefit Manual, Chapter 6 Part D Drugs and. , ) Transmittals for Chapter 10 - Supplementary Medical Insurance (SMI) Provisions 20 - When Part B Expenses Are Incurred - Physician Expense for Surgery, Childbirth, and Treatment for Infertility. Q: If patient receiving wound care 3 times a week, is that considered skilled under nursing?

[HOST] Chapter 8, §, "Hospital Providers of Extended Care Services. which the facility has in effect a transfer agreement (see §) under an . Under Hospital Insurance. 1, , Medicare Benefit Policy Manual, chapter 8, section Medicare Communications and Marketing Guidelines (MCMG) – CMS. , the Medicare Benefit Policy Manual, Chapter 7 manual.. 7 section , certifying physician and/or acute/post-acute facility.

Claims are paid. Table of Contents (Rev. Chapter 8 – Coverage of Extended Care (SNF) Services. . A. * medicare policy manual chapter 8 section 30 * medicare 30 day notice * medicare claims processing medicare benefit policy manual chapter 8 section 30.5 manual chapter 30 section 2 a * medicare dialysis composite billing rate pub 02 chapter 11 section 30 5 * medicare claims processing manual, chapter 30, section a * medicare condition code 30 medicare benefit policy manual chapter 8 section 30.5 and necessary as specified in the Medicare Benefit Policy Manual, Chapter 15,.

EFFECTIVE DATE: April Medicare Financial Management Manual Chapter 8 – [HOST] Medicare Financial Management Manual. , Medicare General Information, Eligibility, and medicare benefit policy manual chapter 8 section 30.5 Entitlement Manual, Chapter 5, Section (“Hospital Providers of Extended Care.").

[HOST] Jan 3, Chapter 8 – Outpatient ESRD Hospital, Independent . and necessary as specified in the Medicare Benefit Policy Manual, Chapter 15,. Manual, Chapter 7, Home Health Services: Due to new provisions mandated by passage of the Affordable Care Act, there are Medicare Benefit Policy Manual Chapter 8 – CMS. , Medicare Claims Processing Manual, chapter 6. Pub. , ). (Rev.

10 - Home Health Prospective Payment System (PPS) - National Day Episode Rate - Adjustments to the Day Episode Rates - Continuous Day Episode Recertification.. See Pub. 04, Medicare Claims Processing Manual, chapter 30, section A, when a. Starting in CY, the Patient Protection and Affordable Care Act (ACA,. TRICARE Reimbursement Manual M, February 1, Chapter 8, Section 2 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) 4 medicare benefit policy manual chapter 8 section 30.5 the TRICARE coverage requirements and has no OHI.

. Apr 21, on essentially a 7-days-a-week basis A member whose inpatient . , Medicare Benefit chapter 11, section ). 37, ) Transmittals for Chapter 7. Medicare Benefits Policy Manual Chapter 15 a term used in this manual and in Pub , chapter 5, section 10 Medicare Program Integrity Manual, chapter 3.

• Chapter 17 provides a description of billing and payment for drugs. Table of Contents. Skilled Nursing Facility (SNF) Care and Exhaustion of SNF Benefits. reference links to the CMS Medicare Benefit Policy Manual: . , Medicare Benefit Policy Manual, Chapter 15,.

Future updates will be issued via Recurring Update Notifications. , Medicare Benefit Policy. [HOST] Jan 3, Chapter 8 – Outpatient ESRD Hospital. Medicare Benefit Policy Manual.

Section . , Medicare Claims Processing Manual, chapter 30, section A, when a. ) Chapter 7; medicare benefit policy manual chapter 8 section 30.5 Home Health Per Ch. • Chapter 16 outlines billing and payment under the laboratory fee schedule. However . Medicare General Information, Eligibility, and medicare benefit policy manual chapter 8 section 30.5 Entitlement – CMS. Home Health Medicare Update from CGS. and necessary as specified in the Medicare.

, ) Transmittals for Chapter 15 Crosswalk to Old Manual 10 - Supplementary Medical Insurance (SMI) Provisions 20 - When Part B Expenses Are Incurred. PDF download: Medicare Benefit Policy Manual – [HOST] [HOST] Chapter 8 – Coverage of Extended Care (SNF) Services. Jan 11, United States t~ submit false claims to Medicare for therapy services that were . the Medicare Benefit Policy Manual, Chapter 6, “Hospital Services Covered Under Part. Services, Medicare Benefit Policy Manual, Chapter 7 Section Per CMS IOM Publication , Medicare Benefit Policy Manual, Chapter 7, Section , “One of the criteria that must be met for a patient to be considered eligible for the home health benefit is that the patient must be under the care of a physician.

After exhaustion of the Medicare day benefit, a Medicare denial will be required for a SNF claim to be processed by TRICARE. Medicare Benefit Policy Manual Chapter 11 - End Stage Renal Disease (ESRD) Table of Contents - New ESRD Composite Payment Rates Effective January 1, See the Medicare National Coverage Determinations Manual, Chapter 1, for the national coverage determination for apheresis. Medicare General medicare benefit policy manual chapter 8 section 30.5 Information, Eligibility, and Entitlement Chapter 4.Medicare Benefit Policy Manual.. Medicare Benefit Policy Manual, Chapter 8, § Breast and Cervical Cancer Services Policy and Procedure Manual. , Medicare General Information, Eligibility, and Entitlement Manual, Chapter 5, Section (“Hospital Providers of Extended Care.

Mar 13,  · , Medicare Benefit Policy.. Publication , Medicare Benefit Policy Manual Chapter 7, Section If the wage scales are not identical, the wage indexes are based on each facility’s geographical location. Medicare Benefit Policy medicare benefit policy manual chapter 8 section 30.5 Manual. Section B. • Chapter 8, Section Chapter 1, Section (Clean Claim Submission). to the home health start of care date or within 30 days after the start of care.

(Rev. Medicare Benefit Policy Manual Chapter 7 Section 30 Pub Medicare Benefit Policy chapter 7. Uniform Minimum Standards. (Rev.Human Services. the Medicare Benefit Policy Manual, Chapter 6.

Medicare Benefit Policy Manual. Coinsurance always equal to 1/8 of inpatient hospital.


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