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In response to the comments indicating that the calculation of the weighted median for each MS-DRG requires summing the number of inpatient discharges for each MAO for each MS-DRG, and stating that a hospital might get a different result depending on whether inpatient discharges are counted as (1) all inpatient discharges for the MAO's members, (2) those inpatient discharges where the MAO made payment (whether inpatient or otherwise), or (3) those inpatient discharges where the MAO paid for the care at the inpatient rate, the hospital should use (3) those inpatient discharges where the MAO paid for the care at the inpatient rate as the sole purpose of the discharges in the calculation is to weight the rates contained in the MRF

Though the diagnosis code (ICD-10 code) for the exam is Z00.00 (general physical exam), the CPT code for the visit is NOT the wellness-exam code range used by every other insurance plan (99381-99397)

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Conclusions This case highlights the importance of considering vitamin B12 deficiency in the differential diagnosis of pancytopenia, even when severe symptoms and laboratory findings might suggest more serious conditions

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