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CMS-1403-FC
1034
suppliers. As previously noted, approximately 78 percent of
Medicare beneficiaries that need oxygen do not use the
oxygen equipment for more than 36 months. The changes
mandated by section 144(b) of the MIPPA will have no impact
on suppliers or beneficiaries in these cases.
For purposes of the RFA, approximately 80 percent of
clinical diagnostic laboratories are considered small
businesses according to the Small Business Administration’s
size standards. These are posted on the following Web
site:
http://sba.gov/idc/groups/public/documents/sba_homepage/ser
v_sstd_tablepdf.pdf. Ambulance providers and suppliers for
purposes of the RFA are also considered to be small
entities.
In addition, most ESRD facilities are considered small
entities for purposes of the RFA, either based on nonprofit
status or by having revenues of $7 million to $34.5 million
or less in any year. We consider a substantial number of
entities to be significantly affected if the final rule
with comment period has an annual average impact on small
entities of 3 to 5 percent or more. Based on our analysis
of the 926 nonprofit ESRD facilities considered small
entities in accordance with the above definitions, we
estimate that the combined impact of the changes to payment
for renal dialysis services included in this final rule