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Deficiency is particularly common in elderly people because the ability to absorb vitamin B12 can decrease with age

Under 425.630(g)(3), if an ACO has an outstanding balance of prepaid shared ( savings after the calculation of shared savings or losses for the final performance year of an agreement period in which an ACO receives prepaid shared savings, then the ACO must repay any outstanding amount of prepaid shared savings it received in full upon request from CMS

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26 If the B 12 is normal (rare probability of B 12 deficiency see Table 3: B 12 Medication Table ), a repeat investigation is not required in the absence of new signs of disease