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We also proposed to codify at 414.1380(b)(2)(i)(B) that, beginning with the 2026 MIPS payment year, CMS awards achievement points equivalent to 10 percent of the performance threshold for a MIPS eligible clinician whose average cost attributed under a cost measure is equal to the median cost for all MIPS eligible clinicians attributed the measure

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This tier has the highest rate of independent testing failures in community reports including product that tests as sterile water with no benzyl alcohol, sub-spec preservative concentrations, and endotoxin levels above USP limits