[Intl_DxMedPhys] ExRad eCQM update

[Olav Christianson]

Adam,

You are correct that the excessive radiation measure will be voluntary in
2027. However, it should be noted that CMS is still intending to transition
to mandatory reporting in the future. Here are a few quotes from the link
you shared to support that claim.

"We believe that maintaining voluntary reporting supports patient safety
goals by allowing the continued monitoring of hospital performance and
progress on dose optimization, while providing hospitals with the
opportunity to strengthen their technical capacity, refine dose
optimization practices, and enhance data quality and consistency before the
measure becomes mandatory."

"Although we proposed extending voluntary reporting of the measure in
response to feedback regarding implementation challenges, we also stated
our intent to propose any additional changes to this measure in future
rulemaking. As such, we intend to return to rulemaking to propose a date to
begin mandatory reporting in the future, and we encourage hospitals to use
the voluntary reporting period to improve imaging practices and develop the
new processes and data extraction methods needed to capture and report data
for this measure in preparation for future implementation."

"We intend to propose a date to begin mandatory reporting at the next
feasible opportunity, which we expect to be the CY 2027 OPPS/ASC proposed
rule."

If CMS makes additional changes, it would go through another round of
rulemaking, including public comment.

Best,

Olav

On Mon, Jan 19, 2026 at 7:46 AM Erin Niven via Intl_dxmedphys_wd_osu_list <
intl_dxmedphys_wd_osu_list at lists.osu.edu> wrote:

> Thank you for the update - that is good news! Sincerely, Erin Niven, PhD,
> CHP, RRPT, MCCPM Medical Physicist, NLHS Sent from Yahoo Mail. Get the app
> On Saturday, January 17, 2026 at 12: 46: 14 p. m. NST, Adam Springer via
> Intl_dxmedphys_wd_osu_list
> Thank you for the update - that is good news!
>
> Sincerely,
> Erin Niven, PhD, CHP, RRPT, MCCPM
> Medical Physicist, NLHS
>
>
>
> Sent from Yahoo Mail. Get the app
> <https://urldefense.com/v3/__https://yho.com/148vdq__;!!KGKeukY!z7Bt5TRT_rJGqH8grlxEgJ2i5MaDVmNNFfUsRvlmnIVW4CWIDW_xrqncr-7ZNBttGRNBUuZmscbOOXqteyhe8VjXTUDypn2sLtYUEp9f$>
>
>
> On Saturday, January 17, 2026 at 12:46:14 p.m. NST, Adam Springer via
> Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list at lists.osu.edu>
> wrote:
>
>
> For those who are interested, CMS released the final rule regarding the
> Excessive Radiation electronic Clinical Quality Measure (ExRad eCQM).
> Reporting ExRad for the Hospital Outpatient Quality program will
> be voluntary in 2027 and subsequent
> For those who are interested, CMS released the final rule regarding the
> Excessive Radiation electronic Clinical Quality Measure (ExRad eCQM).
> Reporting ExRad for the Hospital Outpatient Quality program will be
> *voluntary *in 2027 and subsequent years. See item (3) at
> https://urldefense.com/v3/__https://www.federalregister.gov/d/2025-20907/p-71__;!!KGKeukY!y0L0W4WeG_atjB21nSs1tSpBayUI4qJmqm0z3wnqONr2qWTPVLacTcqrF0hqgpd64pQ_wHMHfdbZgUxKrA4zKFxGui4qy0ZoM99eP0CqZEIQd3NA$ 
> <https://urldefense.com/v3/__https://www.federalregister.gov/d/2025-20907/p-71__;!!KGKeukY!0o9-1SPJqKfudMrnS9I2-WILqTq1msNInuM8p5a34aIcbqVnuP23otTGmMtLDAQB9Obmo6ep6NRoHOTsqiZ9ZYibiUbJBklAj9MBlw$>.
>
>
> Last I read, reporting this measure was already optional for the Hospital
> Inpatient Quality program and MIPS. Unless the rules for those programs
> have changed in the last few months, reporting the ExRad eCQM is optional
> for all facilities.
>
> It still might make sense for some facilities to report it for
> reimbursement reasons (e.g. MIPS requires a certain number of radiology
> measures). A billing or compliance specialist should be consulted to
> determine that.
>
> ~Adam
>
> ========================
> Adam C. Springer, MS, DABR®
> Medical Physicist & CEO
> PO Box 700
> Ruston, LA 71273
> Office: 318-255-5033
> Mobile: 318-272-8292
>
>
>
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