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While we are not responding to specific comments in response to the RFI in this final rule with comment period, we will take this feedback into consideration for our future measure development efforts for the Hospital OQR, REHQR, and ASCQR Programs

[471] We have provided some flexibility on the title of the senior hospital executive who would attest to the file's accuracy and completeness, and indicated in the proposed rule (90 FR 33799) that we would expect the senior hospital official who is named as the attester in the file would be the same individual who would submit to CMS, if requested as part of CMS' monitoring oversight, a certification of the accuracy and completeness of the MRF data under 180.70(a)(2)(iv)

People over 50 years of age may show neurological changes due to vitamin B12 deficiency, resulting in an increased incidence of nervous and mental disorders among the elderly

We look forward to seeing you at the academy and helping you improve your skillset