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Response: We disagree with the commenter that indicated it would be unreasonable for us to require hospitals to use EDI 835 ERA transaction data to calculate and encode the allowed amounts

The commenter expressed concern that doing so would have an untenable impact on payment to these departments because, based on the proposed radiation treatment delivery APCs in CY 2026, the reimbursement for IMRT in these locations would fall to $110 per treatment which is well below cost