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The high plasma levels of SAM that occur after a protein-rich meal inhibit the enzyme methylenetetrahydrofolate reductase (MTHFR), activate CBS, and cause homocysteine to be converted to cysteine

We also proposed that beginning with the CY 2028 reporting period/CY 2030 payment determination, hospitals would be required to report all four calendar quarters (1 calendar year) of data for the Emergency Care Access & Timeliness eCQM

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