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We finalized in the CY 2022 PFS final rule that for the CY 2023 and 2024 MIPS performance periods/2025 and 2026 MIPS payment years, a subgroup reporting measures and activities in an MVP will submit its affiliated group's data for the Promoting Interoperability performance category and in the scenario that a subgroup does not submit its affiliated group's data, the subgroup will receive a zero score for the Promoting Interoperability performance category (86 FR 65413 and 65414)

Especially tell your doctor if you: have liver problems, especially cirrhosis of the liver

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However, the reasons why are not so clear