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Complex Organization Adjustment: In the CY 2025 PFS final rule (89 FR 98116 and 98117), we established a Complex Organization Adjustment beginning in the CY 2025 performance period/2027 MIPS payment year to account for the organizational complexities faced by Virtual Groups and APM Entities, including Shared Savings Program ACOs, when reporting eCQMs

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Seek urgent medical attention if you develop rapidly progressive numbness or weakness, difficulty walking, confusion, severe breathlessness, or chest pain