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In this case, only 40 rounds of experiments with subtractive pools quickly solved out the four indispensable factors from possible trillions of combinations (=2 40 )

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To clarify, while FQHCs and RHCs that provide services that are billed exclusively under FQHC or RHC payment methodologies are exempt from reporting traditional MIPS, FQHCs and RHCs that participate in APMs, such as the Shared Savings Program, are considered APM Entity groups as described at 414.1370 (88 FR 79099)