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Description

Specific dosing should only be determined by a qualified medical provider

Comment: Some commenters addressed the discussion in the CY 2025 PFS proposed rule on the timing of applicability of the policy changes on reopening ACO payment determinations, and in particular the applicability of the policies to reopening requests made on or after January 1, 2025

CMS expects providers and suppliers to submit accurate claims, to utilize the correct modifiers, and to correct any claim that omits a required modifier