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Another commenter did not support CMS' concerns that providing flexibility in CEHRT reporting for ASM participants may disincentivize CEHRT adoption, noting that it does not consider the reality that the clinician relationship to CEHRT contains a multitude of factors above Medicare value-based payment reporting

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Additionally, some patients did not have the intense VB12 measurements by the oncologic providers or were lost to follow up or succumb to their oncologic process limiting what can be said about the success of long-term exclusive oral VB12 supplementation