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Whereas a crossover trial showed improvement compared with amantadine, a control trial reported no benefit

In vetting and establishing this Removal Factor, we employed a commonly used definition of obsolete as in `out of date.' In the context of the Quality Payment Program, this means an activity that no longer reflects current clinical best practices, that is no longer available for implementation ( e.g., when a program or initiative upon which an activity depends has been ended or closed), and/or that, because of the nature of the activity, cannot be attested to year after year with a reasonable expectation of clinical quality improvement year after year

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