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Additionally, smoking impairs esophageal motility and peristalsis, reducing the esophaguss ability to clear refluxed acid

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We responded to these public comments by writing that we disagree with the commenters that requested a further expansion of a complete colorectal cancer screening that would include additional first step tests beyond a non-invasive stool-based test

If the scaling factor is greater than zero and less than or equal to 1.0, then the MIPS payment adjustment factor for a final score of 100 will be less than or equal to 9 percent (the applicable percentage)