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(See Table 3 on page 10.) Because they are now inclusive of all imaging, the existing ultrasound documentation guidelines are reiterated in conjunction with the new codes

Billing the wrong HA J-code for a specific product generates a HCPCS mismatch denial at the MAC level

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We note that the HEBA is a starting point in this regard, and we will continue to refine the HEBA in accordance with learnings from ACO REACH and other CMMI models

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