decisionhealth Newsletters, Part B News - 2017 Issue 5 (May)
Large practices in 9 states must start reporting 99024 on claims July 1
Subscribe or sign in to view the full article.
Article Overview
This article explains CMS’s Medicare global surgery data collection program for larger practices in selected states and the reporting of post-operative services on claims. It covers the program’s timing, participating states, practice-size threshold, the types of surgical services included in the data collection effort, and related Medicare billing considerations for teaching physicians, telehealth, and unrelated evaluation and management services. The piece is relevant to physicians, non-physician practitioners, practice administrators, and medical coding professionals who need to understand Medicare reporting requirements tied to global periods and the physician fee schedule.
Why This Topic Matters
The reporting requirements affect how certain practices document and submit Medicare claims for post-operative services, and the collected data will be used in CMS analyses tied to surgical valuation. Understanding the program helps practices assess whether they must report, what general categories of services are involved, and how the requirement fits into broader Medicare compliance workflows.
Article Sections
-
Global period reporting
Overview of the CMS reporting program, including the types of practices and states affected, the timing of the requirement, and the broader Medicare policy context.
-
Reporting needed for 293 codes only
Discussion of the limited scope of the reporting list, how CMS selected the surgical services included, and the general parameters of the data collection set.
-
Additional points for compliance
General compliance and claim-submission considerations related to the reporting process, including daily reporting, teaching physician issues, unrelated services, locum tenens, and telehealth.
What You Will Learn
- How CMS’s global surgery data collection program is structured
- Which types of practices and states are affected by the reporting requirement
- What general categories of post-operative services are included in the reporting effort
- Which compliance topics are associated with submitting the reported claim information
- How the program relates to Medicare fee schedule and surgical valuation activities
Who Should Read This
- Physicians
- Non-physician practitioners
- Practice administrators
- Medical coders
- Billing staff
- Compliance professionals
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com