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of the Addendum to this proposed rule, the statute requires that outlier payments for any year are projected to be not less than 5 percent nor more than 6 percent of total operating DRG payments plus outlier payments, and also requires that the average standardized amount be reduced by a factor to account for the estimated proportion of total DRG payments made to outlier cases

AMA test results are negative and MRCP findings are normal

Soto-Gamez, A., Quax, W

Understanding the advantages and limitations of each approach helps researchers and patients make informed decisions

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