Surgical, postop-only claims almost even for transfer of care cases

Article Overview

This article examines Medicare Part B claims data for transfer-of-care and split-care billing patterns over a five-year period, with attention to how often certain surgical care modifiers appear and how denial risk varies by modifier. It is relevant to billing professionals, coders, and compliance staff who work with global surgical services, postoperative billing, and Medicare policy updates. The piece also notes a CMS review of how providers report these services and highlights why these modifiers remain an area of focus.