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This commenter opposed incorporation of the HWR measure into the APP Plus quality measure set

The angiogenic response is augmented and temporally shifted toward earlier vessel formation, providing oxygen and nutrients to regenerating tissue during critical early healing phases

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On the other hand, in cases where improper payments impacting Shared Savings Program calculations results from conduct by individuals or entities within the ACO, CMS' interest in addressing program integrity concerns would warrant reopening all affected payment determinations