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CMS may grant an ECE to one or more REHs that have not requested an ECE if CMS determines that (i) A systemic problem with a CMS data collection system directly impacted the ability of the REH to comply with a quality data reporting requirement

X-rays for bony changes

"It doesn't always show up on imaging

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An appropriately-sized syringe typically an insulin syringe (1ml, U-100) for small-volume research work 4

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