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The CY 2014 proposed and final adjustments were consistent with our longstanding practice to make adjustments to match the RVUs for the PFS components with the MEI cost share weights for the components, including the adjustments described in the CY 1999 PFS final rule (63 FR 58829), CY 2004 PFS final rule (68 FR 63246 and 63247), and CY 2011 PFS final rule (75 FR 73275)
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We note CMS will continue to monitor the operational challenges with the EHR systems and reassess whether subgroups should be required to submit subgroup level performance data for the Promoting Interoperability performance category
And the final condition of that person is worse than the first
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