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CMS-1403-FC
anesthesia CF as these shares are proxies for the work, PE,
and malpractice RVUs for anesthesia services.
As explained above, section 133(b) of the MIPPA
provided for the application of the 2007-2008 5-Year work
review BN adjustor to the PFS CF for years beginning with
CY 2009. To make this change for the anesthesia CF, we
recalculated the adjustments to the anesthesia CF for
CY 2007 and CY 2008 by removing the BN adjustor for work,
which had been applied to calculate the CF for each of
these years. The adjustor for the work BN is applied as a
separate adjustment to the anesthesia CF as it is similarly
applied to the PFS CF. In addition, for the calculation of
the CY 2008 anesthesia CF, we recognized the 32 percent
increase in anesthesia work adopted under the third 5-Year
Review of work. We also applied the adjustments that were
made in CY 2007 and CY 2008 for anesthesia PE and
anesthesia malpractice. (The anesthesia CFs shown in the
Table 44 for 2007 and 2008 are not the rates used to pay
claims for services furnished in those calendar years, but
are recalculated anesthesia CFs showing the removal of the
work BN adjustor.)
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