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This is precisely why the 28-day rule is so important

Slow loss with month one, hopefully month two brings better results

Commenters further stated that even absent circularity, the MA negotiated rates cannot assist with determining when changes to the MS-DRG classification system itself are necessary (for example splitting MS-DRGs) because unlike the current case-level methodology the MA negotiated rates do not provide information on resource use variations within an MS-DRG

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Around 50% to 98% of vitamin B12 is excreted from the body 48 hours after injection