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In addition to the technical and operational impact to CMS systems, we believe that removing the reporting requirement for a suppressed measure may cause confusion among MIPS eligible clinicians, eligible hospitals, and CAHs as to their reporting responsibilities, as participants may be in different phases of measure implementation and reporting, particularly depending on the timeframe in which we identify a need to utilize the measure suppression policy for an applicable performance period/MIPS payment year or EHR reporting period

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Arellano et al., 2007