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To address scoring scenarios in which limited measure choice compels clinicians to report topped-out measures with scoring caps, we finalized in the CY 2025 PFS final rule (89 FR 98429 through 98432) at 414.1380(b)(1)(iv)(C) that beginning with the CY 2025 performance period/2027 MIPS payment year, topped-out measures frequently used by certain specialties reporting specialty measure sets that are impacted by limited measure choice (specified in accordance with 414.1380(b)(1)(ii)(E)) are not subject to the 7-point scoring cap

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