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As discussed in section III.G.7.c of this proposed rule, CMS may reopen an initial determination or a final agency determination and issue a revised initial determination at any time in the case of fraud or similar fault, and not later than 4 years after the date of the notification to the ACO of the initial determination of savings or losses for the relevant performance year for good cause ( 425.315)

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The authors theorized this is because women tend to smoke a waterpipe in greater numbers compared to men

Therefore, a further 58 and 26 participants were subsequently excluded at 12 and 24 months, respectively, due to incomplete data