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Even hiking would aggravate my shoulder with the vibration of each step

The applicant commented that it was unable to market the original (lumbar-specific) aprevo in the outpatient setting due to this change and that limited applicable use of the anterior and lateral surgical approaches and inconsistent coding guidance for the posterior surgical approach disincentivized adoption

Commenters indicated that to the extent that a hospital would be required to identify each patient discharge to which a particular rate applied, then determine the MS-DRG that would have applied to that case, and then calculate or determine an MS-DRG rate for that payer based on that claims history, CMS severely understates the hospital burden in completing Worksheet S-12 and that this burden and approach is wholly unsupported

The American Journal of Clinical Nutrition, 89(2), 693S696S

Altchek, D