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(see Table 18) Table 18

However, as we stated in the proposed rule, we have come to understand that if hospitals use substantially different lookback periods, particularly across multiple years, it could distort the allowed amounts, for example, because of pricing changes over time such as inflation, efficiencies, or the introduction of new products or services

and require hospitals to group standard charge information by episodes of care

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The patient should ideally be connected to a cardiac monitor before administration, as the medication acts within seconds and can temporarily stop the heart before normal rhythm resumes

Fawzi WW, Msamanga GI, Urassa W, et al