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As stated in the CY 2015 OPPS/ASC final rule with comment period, we define the C-APC payment policy as including all covered OPD services on a hospital outpatient claim reporting a primary service that is assigned to status indicator J1, [1] excluding services that are not covered OPD services or that cannot by statute be paid for under the OPPS

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Individual results may vary based on health status, lifestyle, and treatment frequency

Vitamin B12 injections are primarily recommended for individuals who have a confirmed B12 deficiency or conditions that impair their ability to absorb B12 from food

(ii) Apply a blanket 1-Star reduction for hospitals in the lowest quartile of Safety of Care measure group performance beginning in Calendar Year 2027 and later years