For the Promoting Interoperability Program and the MIPS Promoting Interoperability performance category, we are finalizing with modification the following proposals: Adoption of a measure suppression policy beginning with the CY 2026 performance period/2028 MIPS payment year and the EHR reporting period in CY 2026 that will not assess the performance of a suppressed measure and will allow MIPS eligible clinicians, eligible hospitals, and CAHs to receive the maximum available points for a measure or full credit for a measure
"Pernicious Anemia", StatPearls , Treasure Island (FL): StatPearls Publishing, PMID 31082033, retrieved July 15, 2025 "Vitamin B12 or folate deficiency anaemia Diagnosis"
The average diet supplies about 5 to 15 mcg/day of vitamin B12 in a protein-bound form that is available for absorption after normal digestion
We believe that such an approach would not cause confusion or create complexities in understanding the implementation of measure suppression
Additionally, RUC surveys contain clinical vignettes, and expert reviewers have raised concerns that these clinical vignettes are not typical and thus may lead to biased recommendations that usually overinflate time spent on the service
Factorial Approach Researchers have attempted to determine B12 needs by measuring daily B12 body losses, also known as the factorial approach
