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Reduces salivation The bicarbonate in the saliva is responsible for neutralizing acid reflux, preventing GERD

Practitioners billing for a global package procedure code with modifier -54 and other practitioners in the same group practice as that practitioner would still be able to bill during the global period for any separately identifiable E/M services they furnish to the patient that are unrelated to the global package procedure

We are interested in understanding and are seeking comment on the circumstances under which practitioners in separate group practices furnish different portions of the care included in global packages, and what that means for reporting the transfer of care modifiers

Contingency management Contingency management uses positive reinforcement for targeted behavior changes (e.g., abstinence, therapy attendance)