decisionhealth Newsletters, Part B News - 2017 Issue 5 (May)
Large practices in 9 states must start reporting 99024 on claims July 1
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Article Overview
This article covers CMS’s Medicare global surgery data collection program for postoperative services and explains which practices must participate, when reporting begins, and what general claim reporting context applies. It is relevant to physician groups, billing teams, compliance staff, and coding professionals who follow Medicare physician fee schedule changes, surgical global periods, and telehealth or teaching-physician billing rules.
Why This Topic Matters
It helps practices determine whether they are included in CMS’s reporting effort and understand the broader Medicare policy context for postoperative service tracking and surgical code valuation.
Article Sections
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CMS reporting requirement and effective date
Overview of the Medicare reporting initiative, the affected practice groups, and the start date for data collection.
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States and practice-size criteria
Identifies the participating states and explains how practice size is determined for the reporting requirement.
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Reporting scope and surgical code selection
Describes the general scope of postoperative reporting and how CMS narrowed the list of included surgical procedures.
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Additional points for compliance
Summarizes claim reporting logistics and related Medicare billing considerations discussed by CMS, including teaching-physician and telehealth context.
What You Will Learn
- Which organizations and policy changes are driving the reporting program
- How CMS defines the participating practice population
- What broad types of postoperative services are included in the reporting effort
- What claim-level reporting considerations accompany the program
- How the program relates to Medicare global surgery data collection and surgical code valuation
Who Should Read This
- Physician practices
- Medical coders
- Billing staff
- Compliance teams
- Practice administrators
- Health care consultants
Codes Discussed
Modifiers Discussed
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