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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

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

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