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That is, following the example from Table 49, accounting for improper payments occurring in calendar year 2022 might result in the ACO earning greater shared savings (or smaller shared losses) for PY 2022 (because the reduction in ACO PY assigned beneficiary expenditures outweighs the reduction in national and regional expenditures used to update the benchmark), but may result in smaller shared savings (or greater shared losses) for future performance years for which CY 2022 becomes a benchmark year (because the adjustment for improper payments in BY 2022 causes a reduction in the overall benchmark with no corresponding reduction to ACO PY expenditures)

These include Actual physical nerve damage as the result of surgery or injury Having an overactive immune system (seen in conditions such as lupus, rheumatoid arthritis and celiac disease) Excessive long-term alcohol consumption Certain types of cancers B12 deficiency No matter which condition has led you to searching for treatment for peripheral neuropathy, B12 injections can help protect the nerves

(eds) European Handbook of Dermatological Treatments