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Comment: Some commenters were concerned that the proposed functional impairment levels do not accurately reflect the actual functional impairment levels of home health patients or the cost to provide care for higher acuity patients, specifically those in the musculoskeletal rehabilitation, neuro rehabilitation, surgical aftercare, and wounds groups, as these individuals often have intense needs for assistance with daily living

If deficiency is linked to diet, improving B12 intake may help maintain levels

The authors also emphasized that iron deficiency affecting the central nervous system can exist even when standard blood tests appear normal, highlighting the importance of evaluating ferritin rather than relying solely on hemoglobin levels

this was not included in the tool since the definition of outliers is subjective