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The commenters explained that doing so could lead MACs to improperly impose an extra burden on health care ( providers to justify choosing a procedure other than an extraction in a particular instance

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We noted that an immediate reversion to the pre-PHE definition of direct supervision would prohibit virtual direct supervision, which may present a barrier to access to many services, such as incident-to services, and that physicians and/or other supervising practitioners, in certain instances, would need time to reorganize their practice patterns established during the PHE to reimplement the pre-PHE approach to direct supervision without the use of audio/video technology

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If I provide my own labs what labs are required and how old can they be