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Discussion Pernicious anemia (PA) is a type of megaloblastic anemia caused by cobalamin (Vitamin B12) deficiency resulting from a lack of intrinsic factor (IF)

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It has obtained an acronym for "MIC." Taking these components together offers a lot of health benefits

doi:10.1016/S0736-0266(03)00110-4 Goldstein AL, Hannappel E, Sosne G, Kleinman HK

We believe that using a flat adjustment on the final score would be a clear and transparent method to support ASM participants to increase their score relative to other ASM participants so as to avoid potentially creating a barrier for them to achieve a net positive payment adjustment (see section III.C.2.f in this final rule for further discussion on our proposed payment methodology)