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Take this patient who visited a non-medic for fat dissolving injections

[3] The British Society for Haematology guidelines emphasise that the response to treatment should be monitored through clinical assessment and blood count testing, rather than routine measurement of B12 levels after treatment has started

Conclusions Over 5 years, there are savings of $14.2 million to the health care system from switching to vitamin B12 oral supplements

and meetings with vendors and IT, quality, leadership, and other staff to assure an understanding of what is reported on Medicare.gov/Care Compare, its impact on public reporting, star reporting, and use by other reporting agencies