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That is, application of the ASC conversion factor was designed to result in aggregate Medicare expenditures under the revised ASC payment system in CY 2008 being equal to aggregate Medicare expenditures that would have occurred in CY 2008 in the absence of the revised system, taking into consideration the cap on ASC payments in CY 2007, as required under section 1833(i)(2)(E) of the Act (72 FR 42522)

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While vitamin B12 is generally considered safe, even at high doses, the concept of "too much vitamin B12" is worth exploring

View on PubMed Goldstein AL, Hannappel E, Kleinman HK