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As parts of the new No Surprises rules go into effect, CMS has responded to appeals from providers to clarify some points that had been left unclear. These include how to handle good faith estimate (GFE) notification times in the case of urgent care and the requirement that “convening” providers must provide estimates of other providers’ care costs in the case of procedures with multiple touch points.
Question: Where is Medicare’s detailed guidance for the new modifiers for critical care services during a global surgical period and split or shared visits? We can’t find anything in the final 2022 Medicare physician fee schedule.
In the Jan. 3 issue, Part B News issued a series of 2022 predictions about resonant trends likely to have a significant impact on the medical practice industry (PBN 1/3/22). Below you will find bonus predictions assessing additional areas of heightened focus.
In October 2021, the AMA announced 405 updates to the 2022 CPT Manual, including 249 new codes, 63 deletions and 93 revisions (PBN 10/14/21). To get ready for novel codes, review significant updates to the musculoskeletal, cardiovascular and digestive chapters of the CPT Manual.
In 2020, providers used modifier 59 (Distinct procedural service) less frequently, but the top 15 codes used with the modifier earned higher payments than they had in the previous year.


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