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Under our proposal, CMS or its contractors would be able to treat the physician/NPP signature on the order or referral as equivalent to a signature on the plan of treatment for purposes of the initial certification if that physician/NPP has not signed and returned the patient's plan of treatment to the therapist within 30 days of the initial evaluation, but only in cases where the patient's physician/NPP has signed and dated the written order or referral and indicated the type of therapy needed, and that written order or referral is on file in the medical record

Whats more concerning is that a whopping 420 million of those views came from young individuals aged 18 to 24

"Major League Leaderboards 2022 Batters Pitch Type Statistics | FanGraphs Baseball"