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We welcomed additional comments from the broader medical community regarding the usage of this service, particularly concerning its safety and effectiveness, as well as potential factors contributing to its low utilization

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Specifically, for each of the specified payment years, in addition to the amount of payment that will otherwise be made for covered professional services furnished by an eligible clinician who is determined to be a QP for such year, an additional lump sum APM Incentive Payment will be made equal to 5 percent of the eligible clinician's estimated aggregate payment amounts for such covered professional services for the preceding year (which we defined as the base year) in each of payment years 2019 through 2024, and 3.5 percent of such amounts in payment year 2025

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Introduce the water gradually over 1520 seconds