Split care billing

Why This Topic Matters

Correct split care billing affects whether the appropriate providers are reimbursed for their portions of post-operative care and helps practices avoid avoidable claim errors and compliance concerns.

Article Sections

1. Split care billing overview

   Introduces the topic of post-operative care billing during a global period and frames the reimbursement issue for referring and follow-up providers.

2. Example involving cardiology referral and post-op follow-up

   Presents a practice scenario involving a cardiology group, referral for surgery, and return visits for follow-up care after hospital release.

3. Claim setup and post-operative care transfer

   Discusses documentation and claim elements related to transferring post-operative care between physicians and the general type of billing information involved.

4. Additional billing tips and compliance concerns

   Reviews follow-up billing considerations, claim tracking, and a discussion of potential fraud or referral arrangement concerns.