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They contribute 0% of costs after meeting their annual OOP

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"Some may be influenced by social media or hear successful weight-loss stories from friends, and are therefore keen to try them for themselves." Doctors from various practices interviewed by CNA TODAY stressed that GLP-1 medications should be prescribed only after a proper medical assessment and when the potential benefits outweigh the risks

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Upcoding (assigning higher severity than documented) is also an audit risk ensure E66.01 is supported by physician documentation of excess calorie etiology, not just BMI