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We are proposing to require the use of the appropriate transfer of care modifier (modifier -54, -55, or -56) for all 90-day global surgical packages in any case when a practitioner (or another within the same group practice) expects to furnish only a portion of a global package (including but not limited to when there is a formal, documented transfer of care as under current policy or an informal, non-documented but expected, transfer of care)

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For APCM Level 2, which describes APCM services to patients with two or more chronic conditions we assumed the typical, higher intensity work associated with managing a patient with multiple chronic conditions would involve significantly more resources and require more, and more frequent, APCM service elements

[PubMed] [Google Scholar] 105.Kim JG, Parthasarathy S