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CMS-1403-FC
from the figure in the proposed rule (1.056672) because we
used updated hospital wage data and treatment counts from
the most current claims data. (See section II.H.5.c. of
this final rule with comment period for details about this
adjustment.) For a detailed description of the development
of the CY 2009 wage index values based on FY 2005 hospital
data, see the FY 2009 “Hospital Inpatient Prospective
Payment Systems (IPPS) and Final Fiscal Year 2009 Rates”
rule (73 FR 23630). Section III.G. of the preamble to the
FY 2009 IPPS final rule, Computation of the Final FY 2009
Unadjusted Wage Index, describes the cost report schedules,
line items, data elements, adjustments, and wage index
computations. The wage index data affecting ESRD composite
rates for each urban and rural locale may also be accessed
on the CMS Web site at
http://www.cms.hhs.gov/AcuteInpatientPPS/WIFN/list.asp.
The wage data are located in the section entitled, “FY 2009
Final Rule Occupational Mix Adjusted and Unadjusted Average
Hourly Wage and Pre-reclassified Wage Index by CBSA.”
i. Fourth Year of the Transition
In the CY 2006 PFS final rule with comment period
(70 FR 70167 through 70169), we indicated that we would
apply a 4-year transition period to mitigate the impact on
the composite rates resulting from our adoption of
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