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Several commenters noted that the current decile-based benchmark methodology for administrative claims-based measures may result in disproportionately lower scores compared to non-administrative-claims-based measures and noted their belief that this discrepancy undermines the fairness and consistency of MIPS scoring and may inadvertently penalize cliniciansparticularly small practice and primary care physicianswho rely on administrative claims-based measures due to limited reporting options or practice infrastructure

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A lack of B12 can also lead to damage of the myelin sheath which wraps around our nerves so deficiency is frequently associated with neurological problems