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Comment: A commenter suggested CMS to consider supplementing the use of specialty codes in determining the specialty type definition and ASM participation with additional information, such as diagnosis, evaluation and management service mix, patient relationship codes, relevant board certification, etc

Response: We appreciate the many detailed comments we received on this issue, but we do not agree that higher payment rates are warranted at this time for several reasons

317 , E911E924 (2019)

Now there are two levels of health optimisation: you go to a doctor for the most conservative treatment plan that is vetted and validated by legal bodies, but you use AI to navigate slightly more non-conservative or unusual plans, ie peptides