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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 MPPR amount for services of CMS-designated always therapy services (see the CY 2011 PFS final rule at 75 FR 73236)

doi: 10.1038/s41598-018-29730-x 80 WangQ.GaoP.WangX.DuanY

It highlights that a lot of the current research has been funded by the tobacco industry, who have a long history of manipulating research to suit their commercial interests