E/M Coding Alert - 2009 Issue 16
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Article Overview
This short article summarizes an Office of Inspector General review of global surgery fees for eye and ocular adnexa procedures under Medicare. It explains why the report matters for practices and coders, and it highlights the broader policy issue of how included evaluation and management services are reflected in global surgical payment.
Why This Topic Matters
The article is relevant to physicians, ophthalmology practices, coders, and compliance staff who work with global surgery billing and Medicare policy. It points to a government review that may affect reimbursement methodology and audit awareness.
What You Will Learn
- What the OIG reviewed in its global surgery report
- Why global surgery payment policy matters to ophthalmology practices
- How Medicare payment policy discussions can affect bundled surgical services
- What kinds of compliance concerns can arise when included services are not performed
Who Should Read This
- Medical coders
- Billing staff
- Compliance officers
- Ophthalmology practices
- Surgeons
- Practice managers
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