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A few commenters recommended that, rather than suppression, MIPS eligible clinicians, eligible hospitals, and CAHs claim an exclusion following existing policies, while a commenter recommended that CMS consider introducing a fourth exclusion option that MIPS eligible clinicians, eligible hospitals, and CAHs could claim if they provide documentation of attempted onboarding, but could not complete onboarding during the CY 2025 performance period/EHR reporting period in CY 2025
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