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OPD Fee Schedule Increase Factor Section 1833(t)(3)(C)(ii) of the Act requires the Secretary to update the conversion factor used to determine the payment rates under the OPPS on an annual basis by applying the OPD fee schedule increase factor

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the subject in need of treatment using methods as described herein may be a subject having impairment in one or more behavioural traits which are assessed by one or more of: a responder as described herein may be defined as a subject with an abnormal score on one or more of the behavioural assessments above

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Another potential explanation for the differential effect could be discrepancy in the study population