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Absent CMS action, SAHS billing activity likely would significantly impact shared savings and losses calculations for the performance year affected by SAHS billing activity, and for future performance years that have benchmark years affected by SAHS billing activity

Brown and Snksen (2000) used a semantic terminological model for clinical findings and measured the strength of agreement between the concepts and records retrieved from a computerized patient database of 106,000 patient problem record entries containing 2,625 unique concepts

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