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Prolonged B12 deficiency can lead to severe neurological damage, including numbness, tingling, memory problems, and difficulty walking

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However, we believe ACOs should be communicating regularly with their SNF affiliates and should generally be aware of a potential SNF affiliate CHOW prior to the CHOW occurring

permitting Medicare FFS beneficiaries to voluntarily identify an ACO professional as their primary care provider and requiring that such beneficiaries be notified of the ability to make and change such identification, and mandating that any such voluntary identification will supersede claims-based assignment