Beginning with FY 2024, we include hospitals with 412.103 reclassification along with geographically rural hospitals in all rural wage index calculations, and to exclude dual reclass hospitals (hospitals with simultaneous 412.103 and Medicare Geographic Classification Review Board (MGCRB) reclassifications) implicated by the hold harmless provision at section ( 1886(d)(8)(C)(ii) of the Act (88 FR 58971 through 58973)
[2] [4] Important : If neurological symptoms are present (numbness, tingling, balance problems, confusion), treatment should not be delayed
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This increase factor is based on the final inpatient hospital market basket percentage increase of 3.3 percent for inpatient services paid under the hospital inpatient prospective payment system (IPPS), reduced by a final productivity adjustment of 0.7 percentage point
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