decisionhealth Newsletters, Part B News - 2014 Issue 7 (July)
CMS plans to phase 10-, 90-day global periods to zero-day periods by 2018
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Article Overview
This article explains a CMS proposal from the Medicare physician fee schedule to phase out 10-day and 90-day global periods and move affected surgical services to zero-day global periods. It covers the policy rationale, anticipated payment and utilization effects, the need to revalue services, and CMS’s request for comment on data collection and valuation methods. The article is relevant for surgeons, coding professionals, and billing teams tracking Medicare payment policy and surgical package changes.
Why This Topic Matters
The proposal could change how surgical services and postoperative visits are valued and billed under Medicare, affecting reimbursement, documentation, and workflow for practices that report services with global periods.
Article Sections
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Global periods
Introduces the CMS proposal to phase out global periods and discusses the broader payment and utilization context behind the change.
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Savings for CMS a possibility
Addresses possible spending effects, budget neutrality considerations, and how follow-up utilization might change after the proposed policy shift.
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CMS seeks comment on revaluation project
Summarizes CMS’s request for input on methods to revalue affected services and approaches being considered for valuation work.
What You Will Learn
- Why CMS proposed changes to surgical global periods
- How the proposal may affect Medicare payment and follow-up care
- What kinds of data CMS says it needs for revaluation
- Which general valuation approaches CMS is considering
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Surgeons
- Revenue cycle professionals
- Healthcare compliance professionals
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