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As such, an ACO's MIPS Quality performance category score is calculated according to MIPS scoring rules for the Quality performance category established at 414.1380(b)(1) with exceptions for (1) measures that do not have a benchmark or do not meet the case minimum requirement and (2) measures that are identified as topped out

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Cornfield, J., Haenszel, W., Hammond, E

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Finally, make sure to keep track of your aged tobacco