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Documentation should clearly justify why an injection was required

[382] As discussed in the CY 2026 OPPS/ASC proposed rule (90 FR 33771 and 33772), we proposed that REHs would be required to report either the Emergency Care Access & Timeliness eCQM or the Median Time for Discharged Patients measure

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We believe that both CMS and the hospital would benefit from this proposal by reducing or eliminating the time, resource, and expense burden that may be incurred with a protracted appeals process

This is one reason to use the most concentrated shot concentration possible