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We track each beneficiary's incurred expenses for therapy services annually and count them towards the KX modifier and MR thresholds by applying the PFS rate for each service less any applicable multiple procedure payment reduction (MPPR) amount for services of CMS-designated always therapy services (see the CY 2011 PFS final rule at 75 FR 73236)

It also is recommended in severe case of cobalt deficiencies

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CMS calculates an ASM incentive pool for each ASM cohort for an applicable ASM payment year using the formula: ASM incentive pool = (Sum of Medicare Part B payments for covered professional services paid to ASM participants with final scores in an ASM cohort during the applicable ASM performance year) (ASM risk level as defined in paragraph (c)(1)(i) of this section) (ASM redistribution percentage)