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Another commenter indicated they had not encountered any scenarios where a known fee schedule, case rate, or per diem exists outside of a more complicated and detailed algorithm and provided examples of factors that may further modify a fee schedule, case rate, or per diem, including carveouts, lesser of methodology, stop loss provisions, exclusions, and grouper logic

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Cholangitis (Charcot's triad): RUQ pain, fever, and jaundice together constitute a surgical emergency

They target blood sugar and body weight through completely separate mechanisms

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