BC Advantage - 2024 Issue 7
Auditing the Global Package
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Article Overview
This article covers the concept of the surgical global package under Medicare and Medicaid-related payment systems, with emphasis on post-operative coding audits. It outlines the general documentation, modifier, compliance, and reimbursement review areas auditors should consider, and references CMS guidance for surgical services. The content is aimed at coders, auditors, and compliance staff working with surgical claims and global surgery reviews.
Why This Topic Matters
Understanding global package auditing helps organizations review surgical claims consistently, support compliance, and identify documentation or reimbursement issues before they affect billing accuracy or quality reporting.
What You Will Learn
- How the global surgical package is framed in a post-operative audit context
- What broad documentation areas are typically reviewed in surgical audit workflows
- Why coordination between coding, billing, and clinical records matters in global surgery reviews
- How audit findings can be used to support corrective action and process improvement
Who Should Read This
- Medical coders
- Coding auditors
- Compliance professionals
- Revenue cycle staff
- Surgical specialty billing teams
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