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The timeline for adoption of the Emergency Care Access & Timeliness eCQM, beginning with voluntary reporting for the CY 2027 reporting period followed by mandatory reporting beginning with the CY 2028 reporting period/CY 2030 payment determination, was developed to balance the immediacy of the ED boarding crisis while providing HOPDs sufficient time to test and integrate the eCQM into existing clinical workflows in preparation for reporting the measure
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Final action: After consideration of the comments received, we are finalizing at new 180.50(b)(2)(ii)(C)( 2 ) that if the payer-specific negotiated charge is based on a percentage or algorithm, the hospital must calculate and encode the total number of allowed amount remittances from the EDI 835 ERA transaction data or an alternative, equivalent source of remittance data used to calculate the median, 10th percentile, and 90th percentile allowed amounts
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