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Conclusion: The RA patient diagnosis profile in the primary level of care is a 40 year-old woman with hand arthralgia, which will have RF measured and will be treated with NSAIDs for 9 months before being referred to a secondary level of care

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As discussed in section III.C.2.e.(2).(b) of this final rule, for an ASM participant to receive a payment adjustment greater than the negative adjustment equal to the applicable ASM risk level (negative nine percent in the first two ASM payment years) they must meet the Quality ASM Performance Category Data Submission Requirement as discussed earlier in this section of this final rule