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114-113) added section (d) hospitals in Puerto Rico as eligible hospitals under the Medicare EHR Incentive Program and extended the participation timeline for these hospitals such that downward payment adjustments were authorized beginning in FY 2022 for section (d) Puerto Rico hospitals that do not successfully demonstrate meaningful use of CEHRT for the applicable EHR reporting period

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Very high doses of vitamin B12 may cause mild symptoms such as: Headache Fatigue or weakness Nausea Vomiting and diarrhea Tingling sensation in hands and feet