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We continue to believe that if market-based data (median payer-specific negotiated charges for MA organizations) are incorporated into the calculation of the MS-DRG relative weights, initially there will be limited impact on the relative weights given the current similarity between MA organization rates and Medicare FFS rates, but that over time the proposal would create an opportunity for negotiations to reflect market dynamics, as noted by a commenter who supported our proposed policy

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Context matters Test alongside other markers such as fasting insulin, glucose, thyroid function, and possibly GH stimulation testing if deficiency is suspected

to a total breakdown of the bodys ability to create, process, or convert B12

10.1002/smll.201870106 23 BarbalinardoM.CaicciF.CavalliniM.GentiliD