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The following paragraphs discuss our approach to reviewing RUC recommendations and developing ( proposed values for specific codes

we score cost measures based solely on Medicare claims data

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For these reasons, it is appropriate to establish benchmarks for Medicare CQMs that are consistent with MIPS benchmarking policies

This proposal would prevent duplicative Medicare payment for post-operative care because the global surgical package payment would be adjusted based on the appended modifier, and payment for post-operative care would not be made both as part of a global surgical package and through separately billed E/M visits