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In summary, for the reasons discussed we are maintaining our estimate for the hours associated with recordkeeping at 5 and our estimate of hours associated with reporting at 15, which equals 20 hours of annual burden per hospital and 60,760 hours of estimated annual burden across all 3,038 hospitals

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The Bottom Line After walking through all the nuances, guidelines, and scenarios, here's what you need to remember: Core Principle: Syncope coding is about clinical accuracy first, revenue optimization second