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CMS continues to maintain that allowing audio-only periodic assessments in cases where a beneficiary does not have access to two- ( way audio-video communications achieves the balance of ensuring beneficiaries still have access to care while still maintaining proper safeguards so services can be delivered in a way that would not diminish the safety or quality of care for Medicare beneficiaries with an OUD

Missing documentation elements trigger payer audits and recoupment demands even when the service was legitimately provided

You should also contact your GP if: You are unable to attend scheduled maintenance injections, as missing doses can lead to symptom recurrence You develop new symptoms that might indicate other deficiencies or health problems You are planning pregnancy, as B12 requirements may change You experience persistent side effects such as headaches, dizziness, or gastrointestinal symptoms If you experience any side effects, talk to your doctor, pharmacist or nurse

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