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Comment: Many commenters were very supportive of our proposal to unbundle HCPCS G0511 and require RHCs and FQHCs to report and bill for the actual codes that make up the general care management HCPCS code G0511

The within-patient percentage change in serum vitamin B12 concentration at each monitoring point will be determined, and the confidence intervals for the difference in the mean values for each arm calculated

the provider may adjust the dose based on the patients energy levels, symptom improvements, or any side effects

In an effort to represent an ongoing shift to non-stigmatizing language, we proposed to make a technical change to remove the term grandfathered from the regulation text in 405.2462, 405.2463, 405.2464, and 405.2469 and replace it with historically excepted to describe a level of protection provided to certain tribal FQHCs that predates applicable restrictions