BC Advantage - 2022 Issue 8
Is the Global Surgical Package in Danger?
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Article Overview
This article explains CMS’s renewed review of the global surgical package in the 2023 proposed Medicare Physician Fee Schedule and outlines why the issue matters to physician practices. It summarizes the background of global payment bundling, the prior research and data-collection efforts CMS used to study postoperative services, and the broad policy options CMS is considering. The piece is intended for coding, billing, compliance, and practice management audiences that need to monitor Medicare payment policy changes affecting surgical services and postoperative evaluation and management reporting.
Why This Topic Matters
Changes to global surgical payment policy could affect how surgical services and postoperative care are valued and reported under Medicare, with potential implications for reimbursement, compliance, and workflow in physician practices.
Article Sections
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Background
Introduces the Medicare global surgical package and summarizes the general structure of bundled surgical payment under the fee schedule.
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The Issue
Reviews the historical studies, CMS data-collection efforts, and reporting initiatives that led to renewed attention on the global surgical package.
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2023 Proposal
Summarizes the policy alternatives CMS is considering in the proposed rule for reviewing and valuing global surgical packages.
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What Does This All Mean?
Discusses the broader implications of the proposal for surgical payment structure and possible future reimbursement approaches.
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Next Step For Physician Practices
Explains the public comment process and encourages practices to review the proposal and consider submitting feedback.
What You Will Learn
- How the global surgical package is described in the Medicare Physician Fee Schedule
- Why CMS is revisiting the valuation of global surgical packages
- What types of policy changes CMS is considering in the 2023 proposal
- Why physician practices may want to review bundled surgical services in their own workflow
- How the Medicare rulemaking comment process relates to this proposal
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physician practice managers
- Healthcare consultants
- Surgeon office staff
Codes Discussed
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