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Its been effective (first month 236 to 216) with gym and dietician inputs

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That is worth documenting because researchers may encounter the number when comparing protocols

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As we indicated in the CY 2026 OPPS/ASC proposed rule, we believe the benefits to users of the MRF of having this additional information would justify the initial one-time burden to hospitals to update their processes and systems to identify and collect the newly proposed data elements and encode the standard charge information for the newly proposed data elements in the CMS standard template

PMID 18644225