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The CY 2018 HH PPS proposed rule (82 FR 35320) and the technical report from December 2016, posted on the Home Health PPS Archive web page located at: provides a more detailed explanation as to the construction of these functional impairment levels using the OASIS items

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H., Carney, M

mic b6 b12 injections + Injection  Methionine 20 mg/mL / Inositol 50 mg/mL / Choline 50 mg/mL + Methylcobalamin (B12)  30 mL Preservative-Free Vial  Premium Health Care Pharmacy MIC B12 from Fitish RX MIC-B12

(1) Survey Data and HCI For the survey data, we proposed the following steps to prepare data for the algorithm: Step One: We would pull 3 consecutive years of survey data preceding the release of the SFP selection list, including data for all relevant hospice survey types (initial certification, standard, complaint, and follow-up surveys)

mic b6 b12 injections + Injection  Methionine 20 mg/mL / Inositol 50 mg/mL / Choline 50 mg/mL + Methylcobalamin (B12)  30 mL Preservative-Free Vial  Premium Health Care Pharmacy MIC B12 from Fitish RX MIC-B12

Patients consuming significantly fewer calories may not meet requirements for essential micronutrients, including B vitamins, iron, and vitamin D, all of which play crucial roles in energy metabolism

mic b6 b12 injections + Injection  Methionine 20 mg/mL / Inositol 50 mg/mL / Choline 50 mg/mL + Methylcobalamin (B12)  30 mL Preservative-Free Vial  Premium Health Care Pharmacy MIC B12 from Fitish RX MIC-B12

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