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We are finalizing without modification our proposal to revise 425.315(a)(4) to make clear CMS' discretion applies to determining whether to reopen a payment determination in the case of fraud or similar fault, as well as to determining whether good cause exists to reopen a payment determination

Response: We disagree with the suggestion that we are requiring providers and suppliers to report and return overpayments that have not been identified or that we are creating new requirements not authorized by the statute

In addition to the adverse reactions listed above which have been observed in patients treated with ceftriaxone, the following adverse reactions and altered laboratory test results have been reported for cephalosporin class antibiotics: Allergic reactions, drug fever, serum sickness-like reaction, renal dysfunction, toxic nephropathy, reversible hyperactivity, hypertonia, hepatic dysfunction including cholestasis, aplastic anemia, hemorrhage, and superinfection

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