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substrate nicotinamide at 100 ⁇ M, methyl donor S-adenosyl-L-methionine (SAM) at 5 ⁇ M, and S-adenosyl methionine (SAH) at 5 ⁇ M concentration) samples were also run individually in the reaction buffer [1 mM Tris [pH 8.6], 1 mM DTT, 10% trichloroacetic acid, 4% methanol, and water] to identify elution time and define substrate, co-factor, and product peaks

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Third CY Performance Period/MIPS Payment Year: Cost measure scores will be incorporated into MIPS eligible clinicians' cost performance category and MIPS final scores, affecting their MIPS payment adjustments for the performance period's corresponding payment year