In the 2027 Medicare Advantage (MA) and Part D rate announcement, CMS highlighted risk adjustment accuracy, payment integrity, and accountability for diagnoses that drive reimbursement.
You’ll select a modifier and receive a pay boost, one that’s amplified for eligible accountable care organization participants, if CMS goes through its plan to replace patient trust code G2211 with two modifiers.
Review ICD-10-PCS updates that take effect in October, including changes to the Medical and Surgical, Administration, Extracorporeal or Systemic Assistance and Performance, and Imaging sections.
