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CMS-1403-FC
composite rates during the transition from the current wage
adjustments to the revised wage adjustments described
previously in this section. Because the ESRD wage index is
only applied to the labor-related portion of the composite
rate, we computed the BN adjustment factor based on that
proportion (53.711 percent).
To compute the final CY 2009 wage index BN adjustment
factor (1.056689), we used the most current FY 2005
pre-floor, pre-reclassified, non-occupational mix-adjusted
hospital data to compute the wage index values, treatment
counts from the most current 2007 outpatient claims (paid
and processed as of June 30, 2008), and geographic location
information for each facility which may be found on the
Dialysis Facility Compare Web page on the CMS Web site at
http://www.cms.hhs.gov/DialysisFacilityCompare/. The
FY 2005 hospital wage index data for each urban and rural
locale by CBSA may also be accessed on the CMS Web site at
http://www.cms.hhs.gov/AcuteInpatientPPS/WIFN/list.asp.
The wage index data are located in the section entitled,
“FY 2009 Final Proposed Rule Occupational Mix Adjusted and
Unadjusted Average Hourly Wage and Pre-Reclassified Wage
Index by CBSA.”
Using treatment counts from the 2007 claims and
facility-specific CY 2008 composite rates, we computed the
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