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According to the National Nutrition Survey (2008), the average cobalamin intake of the German population, which primarily follows a mixed diet, is just above the recommendations of 4 g/day

Commenters noted that the aggregation of data across various TINs using health IT systems may be logistically difficult and complex, as groups and health IT systems have different ways of collecting and storing data and stated that data aggregation across various systems for measures and activities under each performance category may not be possible if qualified registries do not have the option to assist virtual groups (82 FR 53610)

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(i) An ACO may spend up to 50 percent of its estimated annual prepaid shared savings on staffing and healthcare infrastructure in each performance year