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However, we believe that using an objective threshold based on these episode-based measures would appropriately identify clinicians who provide a higher volume of services related to heart failure or low back pain that would make it appropriate to hold them accountable for quality and spending

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Response: Updated information on documentation and timelines for MIPS EUC Exception applications for ACOs impacted by a cyberattack, including ransomware/malware, that want to submit a MIPS EUC Exception application for performance year 2025, will be available on the Quality Payment Program Exception Application website after the release of this final rule