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We decline to adopt the commenters' suggestion to adopt a clearinghouse model for identification and removal of 340B units from Part B claims on the basis that covered entities are knowledgeable of the 340B modifier requirements and current billing patterns reveal these modifiers are being reported on professional and institutional claims in CY 2023 and CY 2024

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Engaging in physical activity, both intensive movement improvement and increased muscle strength do not occur without side effects, resulting in accelerated tissue wear, especially in professional athletes, where excessive use affects areas where tissues are genetically less valuable and prone to frequently occurring, cumulative micro-injuries