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This commenter stated that the requirement that only one provider bill for CHI/PIN/PIN-PS at a time, while simultaneously requiring FQHCs/RHCs to bill for a range of care management services under the same code, places FQHCs/RHCs at considerable risk of having their claims denied as being for duplicate services

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A "COA" generated in-house by the vendor is a self-report, not third-party verification

(4) The ACO does not have any outstanding shared losses or advance investment payments that have not yet been repaid to CMS after reconciliation for the most recent performance year for which CMS completed financial reconciliation