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15,16 While more studies are needed to identify the incidence and prevalence of vitamin B 12 deficiency in this subset of patients, screening for subclinical B 12 deficiency should be a consideration in patients who have received long-term acid-suppression therapy

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First, measures in the cost performance category are scored against a benchmark determined based on average performance of all MIPS eligible clinicians during that same performance period ( 414.1380(b)(2) introductory text and (b)(2)(i)) rather than a benchmark determined based on historical data, which is used, wherever possible, for non-administrative claims-based quality measures in the quality performance category