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We are finalizing at new 180.90(c)(4) that, effective beginning January 1, 2026, the amount of a CMP would be reduced by 35 percent should a hospital submit to CMS a written notice requesting to waive its right to a hearing under 180.100 within 30 calendar days of the date of the notice of imposition of the CMP

This limitation of standard lab testing approaches stems from how reference ranges are calculated