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As the COVID public health emergency endures, you’ll find a new code that you can report when providing a Moderna booster shot, along with a complementary administration code.
Value-based model watchers may be interested in an outline in the new MedPAC report, required by the Consolidate Appropriations Act of 2021, for a proposed value-based program for a post-acute care value incentive program, aka PAC-VIP.
CMS made an unscheduled mid-quarter update to the NCCI procedure-to-procedure (CCI PTP) claims edits, retroactive to Jan. 1. Here's what changed.
 
Private payers are issuing policies for modifier FT (Unrelated evaluation and management (E/M) visit during a postoperative period, or on the same day as a procedure or another E/M visit. [Report when an E/M visit is furnished within the global period but is unrelated, or when one or more additional E/M visits furnished on the same day are unrelated]).
 
Can you guess how they're interpreting the modifier?
 
 
First impressions can be deceiving. The descriptor for modifier FT is a prime example.
 

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