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addendum appropriate average standardized amounts beneﬁciaries case-mix index cochlear implants cost reporting period County criteria day outlier diagnosis codes discharges occurring DISORDERS DRG classiﬁcation DRG weights effective Federal ﬁnal rule GEOMETRIC MEAN GROUPER HCFA hospital wage hospital's hospitals located indirect medical education large urban areas LENGTH OF STAY market basket mechanical ventilation Medicare MEDPAR methodology Non-OR O.R. PROCEDURE October OOOO OOOOON outlier payments patients PERCEITILE percent percentage increase principal diagnosis procedure codes proposed changes proposed rule prospective payment rates prospective payment system PROVIDER Puerto Rico recalibration referral center status reﬂect RELATIVE WEIGHTS reporting periods beginning rural areas rural hospitals rural referral center September 30 sole community hospitals speciﬁc SURG SURG SURG TABLE target amount tracheostomy update factors urban hospitals ventilator W/O CC wage data wage index value weighting factors West South Central WMCU WWCU