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Clinically, sputum purulence serves as a marker of disease activity and is associated with higher exacerbation rates, increased hospitalizations, and greater mortality compared with mucoid sputum [33]

Journal of Applied Microbiology

Aging 16 BonventoG.BolaosJ

(For a summary of the payment rate development prior to FY 2012, we refer readers to the FY 2018 IPPS/LTCH PPS final rule (82 FR 38310 through 38312) and references therein.) Section 1886(m)(3)(A) of the Act specifies that, for rate year 2012 and each subsequent rate year, any annual update to the standard Federal payment rate shall be reduced by the productivity adjustment described in section 1886(b)(3)(B)(xi)(II) of the Act as discussed in section VIII.C.2