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Shiffman, S., Scholl, S

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not maintained or updated to reflect current clinical guidelines, which are not reflective of a clinician's scope of practice

A number of steps would follow after CMS has decided to reopen the initial determination

It is often difficult in these circumstances for the practitioner who did not perform the surgical procedure to know how the wound looked after the procedure, and so it is more challenging to recognize possible changes that may have occurred since ( the time of the procedure (when this is something the operating surgeon would have been able to know)