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In tandem with that, and as discussed in response to a comment summary earlier in this section, we have elected not to finalize the removal of the statement, to the best of the hospital's knowledge and belief from the attestation statement, to reflect that we do not view the attestation as an absolute guarantee of perfection, but instead, as a reassurance to CMS and MRF users that to the best of the hospital's knowledge and belief, it has included all applicable standard charge information in accordance with the requirements of 180.50, and the information encoded is true, accurate, and complete as of the date in the file

It can also lead to feelings of frustration, anger, or nervousness

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Rodrigues-Barata R, et al., (2020)