decisionhealth Newsletters, Part B News - 2016 Issue 11 (November)
Online only: CMS dramatically scales back global period data-collection program
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Article Overview
This article covers CMS’s updated Medicare global period data-collection program after agency changes reduced the scope of mandatory reporting. It is relevant to surgeons, physician practices, compliance staff, and coding professionals who follow Medicare physician fee schedule policy, global surgery valuation, and reporting requirements for post-operative services. The article discusses the affected practice sizes and states, the types of services and procedures CMS will monitor, the timing of reporting, and the broader policy context tied to MACRA and future revaluation efforts.
Why This Topic Matters
The article helps readers understand a significant change in Medicare reporting expectations for global surgery services and the policy direction behind CMS’s valuation efforts. It matters for practices that may need to prepare for reporting, education, and data-collection processes related to post-operative care.
Article Sections
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Initial reporting changes
Summarizes the scope of CMS’s revised Medicare reporting approach and the provider groups and locations affected by the change.
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Report only visits following high-cost procedures
Describes the limited set of procedures and service categories CMS will focus on for required reporting and the broader voluntary participation option.
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CMS to conduct in-depth survey
Explains the related data-collection and survey activities CMS plans to use to gather more detail about global period services and valuation.
What You Will Learn
- How CMS narrowed the Medicare global period reporting program
- Which provider groups and states are affected by mandatory reporting
- What kinds of global surgery services and survey information CMS plans to collect
- How the reporting initiative fits into broader Medicare valuation policy
- What future data-collection changes may affect physician practices
Who Should Read This
- Surgeons
- Physician practices
- Coding professionals
- Compliance staff
- Practice managers
- Health policy readers
Codes Discussed
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