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In addition, the commenter contended that because direct beneficiary services are not payable under Traditional Medicare Part A or B, direct beneficiary services would not be subject to the Medicare appeals process, which may cause additional confusion for beneficiaries if they only receive a direct beneficiary service from a provider associated with an ACO for a limited period of time and believe they should continue to receive the service

Power Washing usually means using hot water (heated) under high pressure

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