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In summary, we indicate the historical HCRIS data ( update OACT used to identify Medicare DSH payments, we explain that the most recent Medicare DSH payment adjustments provided in the IPPS Impact File were used, and we provide the components of all the update factors that were applied to the historical data to estimate the Medicare DSH payments for the upcoming fiscal year, along with the associated rationale and assumptions
and (4) applied analytical approaches such as high-performance liquid chromatography/mass spectrometry (HPLC-MS), enzymelinked immunosorbent assay (ELISA), or comparable practices
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