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RHCs and FQHC visits are generally paid at 80 percent of reasonable costs, and thus, they are subject to coinsurance for Medicare Part B enrollees

For example, if the specified amount is very low due to negative ASP data and the payment amount is updated using other available data resulting in a payment amount that exceeds the inflation-adjusted payment amount, beneficiaries would not receive the benefit of adjusted coinsurance

( Practitioners have the option to use the FQ or the 93 modifiers or both where appropriate and true, since they are identical in meaning

Section 1833(a)(1)(W)(ii) (as amended by section 4104 of the Affordable Care Act (Pub