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Causes of Excessive B12 Levels Elevated serum vitamin B12 levels (hypercobalaminaemia) can arise from various mechanisms, both iatrogenic and pathological

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Section 1848(q)(6)(A) of the Act specifies that, to then determine a MIPS payment adjustment factor for each MIPS eligible clinician for an applicable MIPS payment year, we must compare the MIPS eligible clinician's final score for the given year to the performance threshold we established for that same year in accordance with section 1848(q)(6)(D) of the Act