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Some LLMDs use them exclusively, even pulsing them on and off

Once a decision is reached on whether to reopen the payment determination, additional time would be needed to complete recalculation of a payment determination (if warranted), and issue the revised initial determination to an ACO, or otherwise notify the ACO of our decision with respect to their reopening request

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PENNELL D J, CARPENTER J P, ROUGHTON M, et al

10.1016/j.bbagen.2012.05.016 35 KippA