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Laboratory interference: Persistent unexplained elevation may reflect macro-B12 (immunoglobulin-bound B12) or other assay interferences

Unlike other B12 types, methylcobalamin doesnt need conversion to work

This protects them from damage caused by mechanical damage

Specifically, we proposed updating the regulations at 419.46(e)(1), 419.95(g)(1), and 416.310(d)(1) to state that CMS may grant an ECE with respect to reporting requirements in the event of an extraordinary circumstancedefined as an event beyond the control of a hospital, REH, or ASC (for example, a natural or man-made disaster such as a hurricane, tornado, earthquake, terrorist attack, or bombing)that affected the ability of the hospital, REH, or ASC to comply with one or more applicable ( reporting requirements with respect to a calendar year