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Gum disease, also called periodontal disease, is an infection that affects the gum line

Although it is known that most incidental findings are likely benign and often have little or no clinical significance, the inclination to evaluate them is often driven by physician and patient unwillingness to accept uncertainty, even given the rare possibility of an important diagnosis. [643] The potential for extracolonic findings, both clinically significant and insignificant, is an important tradeoff to be considered by the patient and clinician when considering CTC as a CRC Screening option

or (ii) The ACO fails to meet the quality performance standard as specified under 425.512 or is subject to a pre-termination action after CMS determined the ACO avoided at-risk beneficiaries as specified under 425.316(b)(2)

This measure is to be submitted a minimum of once per performance period for patients seen during the performance period