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After consideration of public comments, we are finalizing these rates as proposed

She was diagnosed with pernicious anemia, confirmed by the presence of autoantibodies against both parietal cells and intrinsic factor

As the commenters noted, for the 2023 performance year, this resulted in some Shared Savings Program ACOs effectively not being scored on the MCC measure and having greater weight placed on the remaining measures in the APP quality measure set because when the denominator for a quality measure is reduced to zero, the measure is removed from the performance category score

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In the Framingham Offspring Study, 39% of participants had low B12 levels, either a clear deficiency or a borderline deficiency

Follow standard laboratory handling protocols appropriate for your research application