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Step 4 The MILD procedure (Minimally Invasive Lumbar Decompression) For a specific subset of patients those whose lumbar spinal stenosis is being driven primarily by thickened ligamentum flavum Aptiva Health offers the MILD procedure

Section 1833(i)(7)(A) of the Act authorizes the Secretary to reduce any annual increase under the revised ambulatory surgical center (ASC) payment system by 2.0 percentage points for such year that an ASC fails to submit required data on quality measures specified by the Secretary in accordance with section 1833(i)(7)(B) of the Act

We also did not look at differences in response at specific doses of antidepressants nor did we stratify our groups on the basis of type of antidepressants prescribed