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For example, many of our policies, including the extreme and uncontrollable circumstances exception and the reweighting policy discussed in section IV.A.4.i.(2) of this final rule relating to the reweighting of the quality, improvement activities, and Promoting Interoperability performance categories when contractually-obligated third party intermediaries do not submit MIPS data, are aimed at ensuring that a MIPS eligible clinician, group, virtual group, subgroup, or APM Entity is not unfairly penalized due to unforeseen circumstances outside their control

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