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US Centers for Disease Control and Prevention

Section 1895(b)(3)(D)(ii) of the Act requires the Secretary, at a time and in a manner determined appropriate, through notice and comment rulemaking, to provide for one or more permanent increases or decreases to the standard prospective payment amount (or amounts) for applicable years, on a prospective basis, to offset for such increases or decreases in estimated aggregate expenditures, as determined under section 1895(b)(3)(D)(i) of the Act

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86 Even when providers and health agencies use the same standards, the quality and completeness of the data they exchange can vary significantly

On top of all that, The Devil also calls upon some purple demons that pop up towards the end of the phase to try and distract you