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Lesions initially started at knuckles of hands which gradually progressed to involve bilateral dorsal aspect of hands including periungal regions (Figure 1a), palmar aspect of bilateral hands including palmar creases (Figure 1b)

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In the interest of establishing a performance threshold using data that is reflective of clinician performance that is not affected by the-PHE for COVID-19, continuing to use data from the CY 2017 performance period/2019 MIPS payment year to establish a performance threshold for the 2028, 2029 and 2030 MIPS payment years will allow us time to gather additional data that is more reflective of clinician performance outside of the PHE for COVID-19