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The 2026 NCCI Rule: Do Not Mix the Two Code Families Per the CMS NCCI Policy Manual effective January 1, 2026, immunization administration for vaccines other than flu, pneumococcal, or hepatitis B must use one code family per date of service

They also degrade quickly due to temperature shifts

Vitamin B12 plays a key role in red blood cell production, nutrient conversion, and neurological balance, and its impact grows stronger when paired with lipotropic agents

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Comment: Several commenters suggested that CMS expand eligibility to more ACOs, including ACOs that are new to the Shared Savings Program or do not have a history of earning shared savings, as they believe additional ACOs could benefit from prepaid shared savings and improve the care their beneficiaries receive