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As discussed in the August 2, 2007 ASC final rule with comment period (72 FR 42517 through 42518) and as codified at 416.172(c) of the regulations, the revised ASC payment system accounts for geographic wage variation when calculating individual ASC payments by applying the pre-floor and pre-reclassified IPPS hospital wage indexes to the labor-related share, which is 50 percent of the ASC payment amount based on a GAO report of ASC costs using 2004 survey data

The commenter stated that CMS's own Information Collection Review document acknowledges the breadth of the undertaking, but fails to account for the extensive coordination needed with vendors and suppliers, from whom much of the requested data must be sourced

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It introduces a vector that has been exposed to the air and potentially other surfaces