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We note however, that section 1847(a)(3) of the Act provides discretionary authority to exempt certain areas and items from the DMEPOS competitive bidding program, including rural areas and areas with low population density within urban areas that are not competitive, unless there is a significant national market through mail order for a particular item or service, and items and services for which the application of competitive acquisition is not likely to result in significant savings

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The 5-day trek adds an extra day, which allows you to climb more slowly, explore the ruins more, or even visit nearby areas like Marampata or the Chiquisca viewpoint

Outpatient clinic-based procedures are relatively better reimbursed than hospital-based procedures because the practice expense inputs are different