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But the result has become an epidemic of too much B12

In particular, the standard payment for physician office settings is ASP plus 6%

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of this final rule with comment period where we finalize the data submission and reporting requirements for the Emergency Care Access & Timeliness eCQM as proposed, such that the Emergency Care Access & Timeliness eCQM would not be required to be reported by REHs under the REHQR Program, but REHs must nonetheless report either the Emergency Care Access & Timeliness eCQM or the Median Time for Discharged ED Patients measure to meet program requirements, beginning with the CY 2027 reporting period/CY 2029 program determination