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We continue to believe that using the IPPS post-reclassified wage index as the source of an adjustment factor for the OPPS is reasonable and logical, given the inseparable, subordinate status of the HOPD within the hospital overall

We sought comment on our proposal and any additional taxonomy codes that would be necessary or helpful to consider

The delayed gastric emptying can reduce stomach acid production and alter the environment needed for B12 liberation from food

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This helps the treatment work best

A commenter suggested specific language that they would like to see CMS use