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Significant changes or errors include, but are not limited to, rapid or unprecedented changes to service utilization, the inadvertent omission of codes or inclusion of codes, or changes to clinical guidelines or measure specifications

doi: 10.1007/978-3-030-24082-0_3 57 NaslundJAAschbrennerKABartelsSJ

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(ii) Proposed Approach for Determining Topped Out Measures Impacted by Limited Measure Choice and Subject to the Proposed Defined Topped Out Measure Benchmark and the Proposed List of Measures That Would Be Subject to the Defined Topped Out Measure Benchmark for the CY 2025 Performance Period/2027 MIPS Payment Year Under this proposal, we would annually determine and publish a list of topped out measures that would have the 7-point cap removed and be subject to the proposed defined topped out measure benchmark

In addition, the observed association between physician-diagnosed insomnia and greater exposure suggests that ETS may be linked to broader health and behavioral contexts

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