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Indeed, the European multicenter study coordinated by Graham reports that, whereas basal hyperhomocysteinemia only shows an additive effect with hypercholesterolemia, it has a synergistic effect with both hypertension and smoking on the incidence of atherosclerotic vascular disease (Graham et al, 1997)

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Accordingly, we seek comment from all provider and supplier types that complete the Form CMS-855A on the propriety of the PEC and REIT definitions first proposed in the Disclosures proposed rule

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