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Maybe the spark is gone

Comment: A few commenters expressed concern that ASM relies heavily on MIPS infrastructure and transfers several existing challenges, including the MIPS scoring methodology that forces distribution of ASM performance scores and uses the maximum negative payment for the lower deciles

They support red blood cell production, DNA synthesis, and normal nerve function when deficiency is present

Specifically, we are redesignating the current 425.118(b)(3) as 425.118(b)(4) and adding a new 425.118(b)(3) and (b)(4)(iii)

The Vitamin B12 coenzymes are very unstable in light

These structured and enhanced referral processes would add efficiency to communications between the parties to the CCA and ensure expectations around what is needed for effective specialty consultation and collaboration