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As stated in the CY 2024 PFS final rule (88 FR 79105), in a manner identical to MIPS CQM Specifications, the Medicare CQM Specifications will allow for the use of multiple sources of data (for example, multiple EHRs, paper records, registries, patient management systems) to compile a measure's numerator and denominator

We considered whether an ASM participant affected by the circumstances at proposed 512.780(a) or (b) who chooses to report ASM performance category data would be subject to a lower risk level as described at 512.745(a)(3)

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