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As reflected in the discussions within this section of this proposed rule, the process for analyzing an ACO's reopening request, reaching a decision on whether to reopen the initial determination, recalculating the ACO's payment determination, and issuing a revised initial determination, may occur over a period of months or potentially years, and may have impacts on future agreement periods

Then the LTC facility staff must contact the prescriber for an order to be able to administer the drug to the patient

This phenomenon of acid rising up into the esophagus is typically referred to as acid reflux

Nemmar A, Yuvaraju P, Beegam S, Ali BH