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It was a definitive diagnosis

Commenters also supported our proposal to direct MACs to use invoice pricing as a last alternative for payment of DCAPS drugs

B12 is essential for your central nervous system to function properly

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Response: We decline to adopt an approach that would require CMS to make a SAHS billing activity determination and notify ACOs of the determination prior to the end of a performance year or to take action to remove payment amounts earlier than this timeframe