ED Coding & Reimbursement Alert - 2013 Issue 11
Reader Question: The Unexpected Return Of A Referred Patient Can Cause Global Problems
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Article Overview
This reader question and answer explains how an unexpected return visit by a referred patient can affect billing during a global surgical period. It is relevant to emergency department, orthopedics, and professional billing staff who need general guidance on handling follow-up care and selecting an appropriate evaluation and management service in a global package context.
Why This Topic Matters
Unexpected patient returns can create claim-splitting and global-period billing concerns for practices that manage fracture care and follow-up services. The article helps readers understand the general reporting approach discussed for these situations.
What You Will Learn
- How an unexpected return visit can affect billing during a global period
- How the article frames follow-up care after an initial fracture-related service
- Why modifier use may be a concern in this scenario
- How the article approaches reporting an emergency department follow-up visit as evaluation and management care
Who Should Read This
- Medical coders
- Billing staff
- Emergency department practice managers
- Orthopedic office staff
- Revenue cycle personnel
Codes Discussed
Modifiers Discussed
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