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(2) In the event a manufacturer requests a hearing, pursuant to 42 CFR part 423, subpart T, the manufacturer must pay the amount in full within 60 calendar days after the date of a final decision by the Departmental Appeal Board, to uphold, in whole or in part, the civil money penalty

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Once that mechanism runs its course, or once the patient is off the medication, the underlying adipocyte metabolism is largely unchanged

At the collection type level, each measure will be assigned points based upon the current benchmarking data: new measures receive 7 or 5 points based on year in the program, measures with benchmarks are given points based upon the highest decile achievable with a less than perfect score (less than 100 ( percent or greater than 0 percent for inverse measures), and measures with no available historic benchmark are given 0 points