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Impact of Proposed Changes Related to Strategies for Improving Global Surgery Payment Accuracy In section II.G.5 of this proposed rule, Strategies for Improving Global Surgery Payment Accuracy, we discuss our current policy to require the use of modifiers to help us identify and adjust payment for a global package when there is a formal transfer of care (that is, a written agreement) between the practitioner who furnishes the procedure (proceduralist) and another practitioner

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