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However, standardization of collection, processing, and analysis methods remains a challenge for clinical implementation (Jia et al., 2013)

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PMID 32633020

As we indicated in the FY 2007 IPPS rulemaking (71 FR 47894-95) when initially adopting a charges-to-cost methodology, no payment methodology can be perfect because DRG-specific costs cannot be determined

So you got the kettlebells, two on the ground, same distance apart as your shoulders