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However, we note that it is not necessary to include Medicare Advantage IME payments in the outlier threshold calculation or the outlier offset to the standardized amount because the statute requires that outlier payments be not less than 5 percent nor more than 6 percent of total operating DRG payments, which does not include IME and DSH payments

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The main dietary sources of L-Carnitine are red meat, fish, poultry, and dairy products

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