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We also believe that a multispecialty group TIN could use the subgroup formation criteria as a guidance for placing clinicians into subgroups relevant to the scope of care provided

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One consideration for determining whether the billing activity has national or regional significance would be if the pattern warrants an adjustment to or special assumption for calculating official Medicare expenditure trends (such as the United States Per Capita Cost (USPCC) or Federal budget forecasts) due to the activity's significant, anomalous, and highly suspect nature