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The commenter emphasized that facilities cannot afford to allocate adequate time to meet patient demand when losing several hundred dollars per case, leading to ASCs limiting retina cases or suspending the service entirely, ultimately moving cases to higher-cost settings contrary to CMS's goal of providing care in the most cost-effective setting

This essential coenzyme plays a key role in energy production, DNA repair, and cellular function

This produces elevated intracellular cyclic AMP (cAMP), which activates protein kinase A (PKA)