New applications and combinations are being explored to enhance recovery and performance
Interested parties and commenters have requested that CMS modify the established C-APC complexity adjustment eligibility criteria of 25 or more claims reporting the code combination (frequency threshold) and a violation of the 2 times rule in the originating C-APC (cost threshold) to allow additional code combinations to qualify for complexity adjustments
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What is Hydroxocobalamin used for
The commenter further asserted that it may also set a precedent for incremental innovations to seek separate reimbursement pathways ( without sufficient clinical justification