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We proposed at 512.730(e)(3)(ii)(B) that significant changes or errors include, but are not limited to, rapid or unprecedented changes to service utilization, changes to codes (such as ICD-10, CPT or HCPCS codes), the inadvertent omission of codes or inclusion of codes, or changes to clinical guidelines or measure specifications

The commenters also noted that many EHR vendors lack support for key data elements required by MIPS measures, preventing clinicians from selecting certain measures

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