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In the CY 2019 HH PPS final rule with comment period (83 FR 56521), we finalized a policy to maintain the current methodology for payment of high-cost outliers upon implementation of PDGM beginning in CY 2020 and calculated payment for high-cost outliers based upon 30-day period of care

This means oral supplementation with crystalline B12 can be effective even when food-bound B12 absorption is impaired

Taking B12 in the morning may help establish a consistent routine, which is important for supplement adherence

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