particularly low-volume rural and small hospitals may be unable to report on many of the included measures
"We struggled with GHK-Cu oxidation for months
Your treatment will be carried out by a highly-qualified and experienced nurse

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Combining payment for multiple, independent services into a single OPPS payment in this way enables hospitals ( to manage their resources with maximum flexibility by monitoring and adjusting the volume and efficiency of services themselves
Finkielstein VA, Goldfarb DS