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[510] The ACGME's Common Program Requirements required that institutions must engage in practices that focus on mission-driven, ongoing, systematic recruitment and retention of a diverse and inclusive workforce of residents, fellows (if present), faculty members, senior administrative staff members, and that organizations' programs implement policies and procedures related to recruitment and retention of individuals underrepresented in medicine and medical leadership. [511] In practice, many such diversity, equity, and inclusion programs unlawfully discriminate against Americans on the basis of race

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While most hospital outpatient services are payable under the OPPS, section 1833(t)(1)(B)(iv) of the Act excludes payment for ambulance, physical and occupational therapy, and speech-language pathology services, for which payment is made under a fee schedule

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One commenter suggested allowing hospitals to select any contiguous 12-month period within the 24 months prior to posting the MRF to allow for delays in payer adjudication