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CMS-1403-FC
CY 2009, the statute requires that we use allowed and
actual expenditures from April 1, 1996 through
December 31, 2008 and the CY 2009 SGR. Consistent with
section 1848(d)(4)(E) of the Act, we will be making
revisions to the CY 2008 and CY 2009 SGRs and CY 2008 and
CY 2009 allowed expenditures. Because we have incomplete
actual expenditure data for CY 2008, we are using an
estimate for this period. Any difference between current
estimates and final figures will be taken into account in
determining the UAF for future years.
We note that Table 33 contains updated actual
expenditures for each time period from April 1, 1997
through December 31, 2008. We discovered that fifteen
procedure codes were inadvertently omitted from the
measurement of actual expenditures beginning in 1998. An
additional 6 codes were omitted from the measurement of
actual expenditures in 2005 and 2006 only, but have been
included in actual expenditures since 2007. Therefore, the
measurement of actual expenditures for FY 1998 and each
subsequent time period was lower than it should have been.
We will be making no changes to PFS payments made for
services furnished prior to CY 2009. However, under
section 1848(d) of the Act, we must include these codes in
the measurement of actual expenditures for historical,
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