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In light of these concerns, which are supported by our analysis of cost performance category scores as discussed in the CY 2025 PFS proposed rule (89 FR 62083 through 62087) and section IV.A.4.f.(1)(d)(ii) of this final rule, we stated that maintaining a performance threshold of 75 points for the CY 2025 performance period/2027 MIPS payment year would provide stability for MIPS eligible clinicians as they become acquainted with the cost performance category (particularly the scoring methodology we proposed and are finalizing in section IV.A.4.f.(1)(d)(ii)(B) of this final rule) without unfairly and negatively impacting their final scores and MIPS payment adjustments

B12 supplementation can mitigate this fatigue, especially in those whose lab work confirms deficiency or borderline status

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