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Response: Although we acknowledge that ED efficiency could be affected by multiple factors, some of which are outside the control of hospitals and health systems, measurement is essential for tracking and addressing these complex systemic issues and their downstream effects

Therefore, we stated in the CY 2026 OPPS/ASC proposed rule that we believed the one-time burden estimate to be 37,080 hours for all hospitals (5 hours 7,416 hospitals) at a cost of $3,545,441.28 (7,416 hospitals [($87.52 4 hours) + ($128.00 1 hours)])

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