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Specifically, to submit data for the Promoting Interoperability performance category, individual MIPS eligible clinicians, groups, virtual groups, subgroups and APM entities (or authorized representatives submitting on their behalf) must use CEHRT as required (meeting the definition at 414.1305) for the continuous 180-day performance period ( 414.1320(i)) to report the applicable objectives, measures, and attestations

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Self-reported level of distress in the past week was reported on a scale from 0=no distress to 10=extreme distress 20 , and is considered a clinical variable