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11 audits 62 independent facilities accepted accounting principles addition adequately performed amount assess audited cost data auditors chain facilities Comments complete the audits cost of providing cost per treatment Department of Health dialysis chain dialysis costs dialysis payment rates dialysis providers draft report ensure that audit esrd facilities ESRD program evidence facilities in hcfa's Facilities Provide Dialysis Facility Cost Reports facility's cost followed and required government auditing standards hcfa hcfa's audit sample hcfa's sample Health and Human Health Care Financing home office cost horizontally integrated hospital-based facilities Human Services included Institute of Medicine intermediaries items and services lower payment rates Medicare cost principles Medicare's prospective payment methodology monitor and review nationwide audit office cost report outpatient dialysis percent prospective payment rates Prospective Payment System Provide Dialysis Treatment providing dialysis services rate-setting purposes recent audit recommendations regional office result standards are followed testing unallowable costs vertically integrated