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Therefore, even if a physician were to recommend one of these compounds, there is currently no mechanism to permit use in athletes bound by WADA guidelines

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[539] Further, we continue to believe, as indicated in the CY 2026 OPPS/ASC proposed rule that, for those hospitals that are assessed a CMP, the reduction of the CMP we are finalizing if the hospital elects not to appeal CMS' findings, would offset some of the hospital financial burden, including legal fees and costs associated with challenging the impositionincluding requesting and defending a hearing before an Administrative Law Judge (ALJ) and any subsequent appeals

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