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We also reiterate a key point from our discussion in section III.G.7.c.(2).(b) of this final rule, that we are continuing to consider applying an approach under which we differentiate between cases where improper payments originate inside the ACO versus outside the ACO, in deciding whether to reopen the payment determination, in order to strike a balance between improving the accuracy of the calculations and ACOs' and CMS' interest in administrative finality of payment determinations

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Differentiation 63(3):159168

While no cosmetic enlargement technique is formally endorsed by medical organizations, cosmetic penile enhancement has gained significant acceptance and popularity worldwide among men seeking aesthetic improvement