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all right good afternoon everyone my name is Ellen Berra and Im with our provider OutdocHub and Education team here at WPS government Health administrators so we are going to be talking about global surgery modifiers today and this is part two of two in the original one that we did back on May 9th we went into a lot of detail on the global surgery concept itself and how Medicare determines that the pricing for that Etc and provided you with some resources for this presentation today were really going to go into some of those exceptions to Global surgery and the different modifiers that will that youll use to show that this is a collaborative event what you have listed on the bottom of your slide is all of the different logos from the seven different Medicare administrative contractors we all work together to put this presentation together we wanted to make a consistent message across all of the contractors so that everyone is getting the same information the next slide that we have i