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Annals of Clinical and Laboratory Science (2015) 6

The two work through independent mechanisms

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As discussed in the August 2, 2007 ASC final rule with comment period (72 FR 42517 through 42518) and as codified at 416.172(c) of the regulations, the revised ASC payment system accounts for geographic wage variation when calculating individual ASC payments by applying the pre-floor and pre-reclassified IPPS hospital wage indexes to the labor-related share, which is 50 percent of the ASC payment amount based on a GAO report of ASC costs using 2004 survey data

I think we can safely say the overwhelming answer would be (b)