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If you have normal B12 levels, an injection is unlikely to make you feel noticeably different

As discussed further in this section of this final rule, we believe that the mean of 75 points from the CY 2017 performance period/CY 2019 MIPS payment year continues to be the most appropriate option that would provide stability and predictability for MIPS eligible clinicians while still encouraging high quality of care

Overall Impact Modeling Approach and Data Assessment (1) MIPS Impact Modeling Approach For this final rule, we used a similar modeling approach as the CY 2025 PFS final rule (89 FR 97710 through 99057)