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Affirmation is not immunity from review

Targeted reviews for possible fraud or gaming and random CERT review can still occur after provisional affirmation. Scope: Program operations only; no individual coverage or medical-necessity determination. Source checked 2026-10-15. Documentary verification only; no clinical review or individual coverage determination.

Prior authorization: unknown. Member-specific applicability must be checked with the payer.
PayerCMS / Medicare
Plan contextOriginal Medicare — reference context only
ServiceASC demonstration
State scopeNot verified
Effective dateNot verified
RevisionSource b1f6b5b75411
Retrieved10/15/2026
EvidenceOpen original source ↗

Source evidence

Documentary checks establish what the official source says, not clinical eligibility.

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This public reference is available in full above. Paid research tools are not currently available; no clinical checklist or cross-payer authorization determination is included.

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Evidence fingerprint: b1f6b5b75411934779bd75248d1fbc68efa6913f5b69a85c87ada4024fce1de2