decisionhealth Newsletters, Coder Pink Sheets - 2017 Issue 6 (June)
Global period reporting Large practices in 9 states must start reporting 99024 on claims July 1
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Article Overview
This article covers CMS’s global period reporting program for postoperative services, including who must report, when reporting begins, which states are involved, and the general context for the agency’s data collection effort. It is aimed at medical coders, billing staff, surgeons, and practice administrators who need to understand whether their organization is affected and what broad reporting topics are included.
Why This Topic Matters
The article matters because it describes a CMS reporting change tied to surgical global periods that can affect practice workflows, Medicare claim handling, and compliance for eligible groups of providers. It also places the reporting effort in the context of broader surgical data collection and later valuation work.
Article Sections
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Program overview and reporting trigger
Introduces the CMS reporting initiative, the practice-size threshold, and the general timeframe for when reporting begins. It also explains the broader purpose of the data collection effort.
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Reporting states and participation details
Identifies the states included in the program and describes how practice size is determined. It also notes who is excluded from mandatory reporting.
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Codes and reporting scope
Describes the general scope of the surgical codes involved and notes that the reporting set was narrowed from a broader list. It also explains that the reporting focuses on postoperative services rather than preoperative visits.
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Additional reporting instructions
Summarizes operational points about how the reporting is handled on claims, including frequency, claim formatting, and related billing considerations. It also touches on special situations such as teaching physician services and telehealth.
What You Will Learn
- Which provider groups and states are affected by the CMS global period reporting program
- When the reporting period begins and what services are included
- How the program relates to CMS data collection and surgical valuation efforts
- What broad claim-reporting considerations are mentioned for postoperative services
Who Should Read This
- Medical coders
- Billing staff
- Practice administrators
- Surgeons
- Compliance personnel
Codes Discussed
Modifiers Discussed
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