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Although mechanisms have yet to be established, vascular disease, ischemia, and cerebral cortex atrophy as indicated from CT scans, have been implicated as contributing factors

Bibcode:2005Natur.438...90C

However, as in previous years, we acknowledge that taking a large permanent adjustment in a single year, to comply with the statutory requirement that CMS ensure the estimated aggregate expenditures under the PDGM are equal to the estimated aggregate expenditures that would have been made under the prior system, may be burdensome for some providers

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