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doi: 10.2147/PGPM.S536459 16 BuckB

As we stated in the CY 2026 OPPS/ASC proposed rule, we believe that requiring hospitals to encode the count of allowed amounts provides valuable information to allow MRF users to assess how representative the median, 10th percentile, and 90th percentile allowed amounts are of the overall price distribution for the item or service, with the reassurance of their statistical validity increasing with the increasing number of allowed amounts used to make the calculation

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Prompt referral to pain management facilities or urgent transfer to an emergency department may be necessary in some cases if severe pain cannot be adequately addressed, in which case opioid agonists should be employed to ensure appropriate mitigation of patient suffering