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Diabetic Ketoacidosis (DKA) is a serious and potentially fatal acute complication of diabetes mellitusmost commonly seen in Type 1 diabetesresulting from absolute or relative insulin deficiency combined with increased levels of counter-regulatory hormones (glucagon, cortisol, catecholamines, and growth hormone)

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++ For ACOs that select preliminary prospective assignment with ( retrospective reconciliation, limit the distribution of the standardized written beneficiary information notification to beneficiaries who are more likely to be assigned to the ACO, when compared to the beneficiaries who must receive the written notification under current regulations (section III.G.8.b of this final rule)

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