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But even this doesnt always give a clearcut answer on whether there is a B12 deficiency Two secondary tests measure B12 function The secondary tests that measure how well B12 functions in the cells, are called functional tests

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We acknowledge that using a quartile-based approach for the 1-star reduction could sometimes result in hospitals receiving a lower Overall Hospital Quality Star Rating even if overall performance improved

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Response: We acknowledge the commenter's concern regarding the measure's scientific acceptability, but note that the measure developer conducted pilot testing in 26 HOPDs across five states and demonstrated that the measure is both reliable and ( meaningful