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[57] We appreciate that changes in technology may have varying impacts on different services, and welcome empiric data from commenters for future rulemaking

Moreover, preclinical models of HF have demonstrated beneficial effects of piracetam on cardiac function, likely mediated by its impact on mitochondrial function and energy metabolism

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The commenter continued to state that as proposed, CMS would, theoretically, continue to apply the efficiency adjustment until such time that the intraservice time is zero

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