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"The first words I will say," he had told me, as we drove to the function, "will be: Are there any other rich bastards in this room? At which point I will raise my arm and you must raise yours too

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However, we have found this policy, and our other reweighting policies at 414.1380(c)(2), do not address circumstances where data are inaccessible or unable to be submitted due to circumstances outside of the control of the MIPS eligible clinician, particularly where the clinician has delegated submission of the data to a third party intermediary and that third party intermediary does not submit the data in accordance with applicable deadlines