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The practical claim is preservation against adaptive thermogenesis decline rather than baseline EE elevation

The cumulative 5-year budget impact demonstrates savings of $14.2 million to the health care system

Response: We appreciate commenters' concerns but forcefully reiterate, as stated in the CY 2024 OPPS/ASC final rule with comment period (88 FR 82086, 82116), that this final rule with comment period falls outside the scope of the FCA

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