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For purposes of this cost measure exclusion policy at 414.1380(b)(2)(v)(B), we are proposing to define significant changes or errors as changes or errors external to the care provided, and that CMS determines may lead to misleading or inaccurate results that negatively impact the measure's ability to reliably assess performance

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White patches or bumps

Although exposure to these chemicals is lower than when smoking tobacco, inhaling snuff is still unhealthy and can be addictive