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Response: CMS has discussed the CY 2019 HH PPS final rule with comment period (83 FR 56425) and explained in the CY 2024 HH PPS proposed rule (88 FR 43704), that we believe data from freestanding HHAs, which account for over 90 percent of HHAs, better reflect HHAs' actual cost structure, as expense data for hospital-based HHAs can be affected by the allocation of overhead costs over the entire institution

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