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In response to concerns made by interested parties that MIPS requirements are confusing, burdensome, and that it is difficult to choose measures from the several hundred MIPS and QCDR quality measures that are meaningful to their practices and have a direct benefit to patients, CMS developed the MVP reporting option to create a simplified MIPS clinician experience, improve value, reduce burden, and better inform patient choice in selecting clinicians (86 FR 65376)

Leonardo da Vinci also describes river and canal flow, the action of water in A book of the origin of rivers that flow from the high tops of mountains (c.1500)

Do you watch Mad Men

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