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doi: 10.1155/2022/8232024 120 WanQWeiRWeiXDengYP

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Therefore, we have only identified those APCs, including those with criteria-based costs, such as device-dependent CPT/HCPCS codes, with violations of the 2 times rule, where a 2 times rule violation is a relevant concept

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If they make an exception for one patient, they may feel pressured to do so for others, leading to a system where ad-hoc changes become the norm