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As discussed in more detail later in this section, we are finalizing the proposed attestation requirement, but with modification to retain the current phrase, to the best of its knowledge and belief. We appreciate the comment that patients will use the MRF to be able to understand the dollar amount for an item or service, but caution that the standard charge information encoded within the MRF reflects the standard charge, or the regular rate established by the hospital for an item or service provided to a specific group of paying patients, which is not necessarily reflective of an individualized charge for an episode of care

Ormond says

[1] People who regularly take medications that suppress stomach acid for conditions like gastroesophageal reflux disease (GERD) or peptic ulcer diseasesuch as proton-pump inhibitors, H2 blockers, or other antacidsmay have difficulty absorbing vitamin B12 from food

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