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The methodology for calculating PE RVUs is the same for both the facility and nonfacility RVUs but is applied independently to yield two separate PE RVUs

Consistent with the policy established in section 40.5.2 of the revised Medicare Part D Drug Inflation Rebate Guidance, a manufacturer may receive only one extension of the rebate reduction per generic Part D rebatable drug or biosimilar per CMS determination of a severe supply chain disruption, as proposed in 428.302(c)(5)

We have also identified the need to require suppliers to use Current Procedural Terminology (CPT) Modifier 79 to allow Medicare Administrative Contractors (MACs) to identify a claim for an MDPP make-up session held on the same day as a regularly scheduled session

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You can also visit smokefree.gov or ask your health care provider for a referral to a local cessation program

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