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The commenter stated that CMS's policy of considering the hospital's geographic CBSA and the urban CBSA to which the hospital is reclassified under the MGCRB for the wage index calculation violates the statutory requirement to treat § 412.103 hospitals the same as hospitals geographically located in the rural area of the state

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Symptoms suggestive of pancreatitis include severe, persistent abdominal pain that may radiate to the back, often accompanied by nausea and vomiting