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In general, Medicare direct GME payments are calculated by multiplying the hospital's updated PRA by the weighted number of FTE residents working in all areas of the hospital complex (and at non-provider sites, when applicable), and the hospital's Medicare share of total inpatient days

Many patients have undiagnosed low b12 even before medication use, particularly among certain risk groups

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Specifically, we considered the usefulness of the estimated allowed amount, as defined at 180.20, in providing necessary context for the payer-specific negotiated charge and in facilitating comparisons across hospitals