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Comment: We received numerous comments from providers and suppliers objecting to the change in knowledge standard from reasonable diligence to knowing out of concern that the 6-month investigatory timeframe mentioned in a response to comments in the Parts A and B Overpayment Final Rule would be removed

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Furthermore, section 1861(e) of the Act, which states in part that the term hospital does not include, unless the context otherwise requires, a critical access hospital (as defined in section 1861(mm)(1) of the Act), underscores the sometimes ambiguous status of CAHs