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[476] NPIs are commonly used in other CMS systems for financial transactions, and for other healthcare data sets, including claims, utilization, and quality data sets

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For CY 2026, we are applying the overall ancillary CCRs from the July 2025 OPSF file after adjustment (using the CCR adjustment factor of 0.956081 to approximate CY 2026 CCRs) to charges on CY 2024 claims that were adjusted using a charge inflation factor of 1.11313 to approximate CY 2026 charges

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