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Role of adenomatous polyposis coli (APC) gene mutations in the pathogenesis of colorectal cancer

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Response: We note that not all measures within the MIPS Promoting Interoperability performance category or the Medicare Promoting Interoperability Program include exclusions and, therefore, we do not believe that the availability of an exclusion for certain measures is sufficient to address circumstances outside the control of MIPS eligible clinicians, eligible hospitals, and CAHs that impact their ability to meet the requirements of all measures