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While surface water quality varies due to erosion, runoff, pollution, plant matter, animal waste, and other possible contaminants, groundwater quality is generally more stable

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Therefore, while we will continue to look for changes to our payment methodologies that might improve access to care for Medicare beneficiaries by improving payment accuracies and encourage greater efficiencies in care, we are not accepting the commenters' recommendation to discontinue the ASC weight scalar for CY 2026

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