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We therefore proposed at new 180.90(c)(4), and subject to the exceptions discussed below, that the amount of a CMP would be reduced by 35 percent should a hospital submit to CMS a written notice waiving its right to a hearing under 180.100 within 30 calendar days of the date of the notice of imposition of the CMP

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Consistent use under medical supervision, with realistic expectations and sustainable lifestyle adjustments, sets the foundation for longer-term success