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As such, for qualifying hospitals with fewer than 3,800 total discharges but more than 500 total discharges, the low-volume hospital payment adjustment at 412.101(c)(3)(ii) is calculated using the following formula: Low-Volume Hospital Payment Adjustment = 0.25[0.25/3300] (number of total discharges500) = (95/330)(number of total discharges/13,200) For this purpose, the number of total discharges is determined as total discharges, which includes Medicare and non-Medicare discharges during the fiscal year, based on the hospital's most recently submitted cost report, as explained previously

lactis also carry ability to assimilate sugars like lactose and galactose (Yam et al., 2015

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