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Under our proposed policy, we would consider evidence of the MIPS eligible clinician attempting to select an alternate third party intermediary, any communication between the MIPS eligible clinician and their third party intermediary, and any documentation signifying that a clinician's data was not submitted due to reasons that could include, but are not limited to, a critical systems failure, the third party intermediary going out of business, the third party intermediary having collected data on a MIPS eligible clinician's behalf and refusing to transmit it to the MIPS eligible clinician to submit, or other circumstances CMS determines to be outside the control of the MIPS eligible clinician

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