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It emphasises the importance of recognising a wide range of symptoms and signs that could indicate a deficiency - including cognitive difficulties, such as: Eyesight problems Mental health issues Neurological/mobility problems Unexplained fatigue The guidelines highlight the necessity for an initial diagnostic test for suspected vitamin B12 deficiency, utilising either total B12 or active B12 tests, (unless specific circumstances require an alternative approach)

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In the CY 2026 OPPS/ASC proposed rule, we stated that we believed initially there would be minimal impacts to the relative weights calculated under the proposed market based MS-DRG relative weight methodology (which would utilize the median payer-specific negotiated charge data negotiated between hospitals and their MAOs) beginning in FY 2029, given the relationship between the MAO rates and Medicare FFS rates (as evidenced by feedback from commenters as discussed in the FY 2021 IPPS/LTCH PPS final rule and the results of our literature review)