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Background Productivity standards for RHCs were first established on March 1, 1978 (43 FR 8260), and updated on December 1, 1982 (47 FR 54163-54165), to help determine the average cost per patient for Medicare reimbursement in RHCs

We then wound the heating element tighter than ever before creating more surface area exposure

D.PrueC.ThompsonJ.VerronT.GraffD.et al (2019)

The mix is kept in carefully controlled humidity and in cool temperatures at all times during the processing