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However, persistent or severe fatigue is not expected

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(B) Permit Exclusion of a Cost Measure When Impacted by Errors and When Significant Changes Occur Outside of the Performance Period In the CY 2022 PFS final rule, for the quality performance category, we modified the quality measure exclusion policy at 414.1380(b)(1)(vii)(A) to change significant changes to significant changes or errors (86 FR 65492) and to include the omission of codes or inclusion of inactive or inaccurate codes to provide that for each measure submitted, if applicable, and impacted by significant changes or errors prior to the applicable data submission deadline at 414.1325(e), performance is based on data for 9 consecutive months of the applicable CY performance period