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(i) A hospital may request an ECE within 60 calendar days of the date that the extraordinary circumstance occurred by submitting the information specified by CMS at QualityNet or a successor website
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The Hook test is a special test to identify a potential distal tendon rupture: The elbow is actively flexed to 90 and fully supinated, the examiner attempts to hook their index finger underneath the lateral edge of the biceps tendon (which cannot be done in a ruptured biceps tendon) *Action of the brachialis and supinator muscles allows for flexion at the elbow to remain
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