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or carrying out any other obligation or duty of the ACO under the terms of the Next Generation ACO model

We are proposing that practitioners who bill for dental services for which they seek payment in accordance with 411.15(i)(3) must include the KX modifier on the 837D or 837P claim to indicate that they believe that the dental service meets the established payment criteria

Additionally, to standardize timelines for payment, spending, and recoupment of prepaid shared savings, ACOs would only be eligible for prepaid shared savings if they renew or early renew to begin a new agreement period

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