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[113] For advanced primary care hybrid payments, this may mean incorporating different types of social and clinical risk into the payment than have typically been considered in traditional E/M or care management codes

One study found that the oral fluid drug test has a false positive rate of 37% for drugs like opioids, cocaine, methamphetamine, and cannabis

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Social factors were also relevant, as having friends or family members using these products (20.33%) and the perception of appearing cool (17.57%) held a significant impact

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