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CMS has a long-standing interpretation of section 1834(m) of the Act as specifying the circumstances under which Medicare makes payment for services that would otherwise be furnished in person but are instead furnished via telecommunications technology

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Since the costs associated with non-behavioral health visits furnished via telecommunication technology are not included in the calculations for the RHC AIR methodology and FQHC PPS, we believe that we need to propose a proxy that would represent such resources used when furnishing these services

Additionally, cardiovascular disease development such as ischemic heart disease (IHD) and heart failure has been associated with heavy hookah smoking [190]

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