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However, we note that it is not necessary to include Medicare Advantage IME payments in the outlier threshold calculation or the outlier offset to the standardized amount because the statute requires that outlier payments be not less than 5 percent nor more than 6 percent of total operating DRG payments, which does not include IME and DSH payments

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Composition: Kojic Acid, Arbutin, Glycolic Acid, Niacinamide, Vitamin E & Mulberry Cream What it does: Brightens dark spots, reduces pigmentation, smoothens skin tone, and gently exfoliates for clearer radiance