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114-255) amended section 1833(t)(18) of the Act by adding subparagraph (C), which requires that in applying 419.43(i) (that is, the payment adjustment for certain cancer hospitals) for services furnished on or after January 1, 2018, the Secretary shall use a target PCR that is 1.0 percentage point less than the target PCR that would otherwise apply

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Muscle mass will determine what length needle you should be using for the injection