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It creates a stable target for the needle, and it lifts the subcutaneous fat layer away from the muscle, dramatically reducing the chance of an intramuscular injection

PMID: 11950239 | doi:10.1006/exer.2001.1125 Kleinman HK et al

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Reporting Ratio Application and Associated Adjustment Policy for CY 2026 We proposed to continue our established policy of applying the reduction of the OPD fee schedule increase factor through the use of a reporting ratio for those hospitals that fail to meet the Hospital OQR Program requirements for the full CY 2026 annual payment update factor