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Lastly, we propose a process for ACOs to request that CMS reopen a payment determination (as described in section III.G.7.c.(2).(e) of this proposed rule), and briefly discuss the role of ACOs in preventing and reporting Medicare fraud (as described in section III.G.7.c.(2).(f) of this proposed rule)

If we cannot determine a benchmark for a cost measure because an insufficient number of MIPS eligible clinicians were attributed the measure (that is, less than 20 MIPS eligible clinicians meet the minimum case volume), then we will not assign any score for the measure for any MIPS eligible clinician ( 414.1380(b)(2)(i) and (v))

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The requirements for assignment of Medicare FFS beneficiaries to ACOs participating under the program were amended by the 21st Century Cures Act (the CURES Act) (Pub

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