E/M Coding Alert - 2013 Issue 25
Physician Note: RAC Auditors Target E/Ms During Global As Problem Area
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Article Overview
This article summarizes a CMS reminder about billing practices tied to the global surgery period and evaluation and management services. It is aimed at physicians, billers, and coding professionals who handle Medicare claims and need to understand the general compliance concerns highlighted by RAC audit findings and CMS guidance.
Why This Topic Matters
It flags a common Medicare billing risk area involving E/M services during global periods and explains why practices should review their current claim-handling workflow. The piece is relevant for anyone responsible for avoiding incorrect billing during postoperative periods and for understanding when modifier-related global surgery issues may arise.
What You Will Learn
- The general purpose of the CMS reminder and why it was issued
- How the article frames E/M billing concerns during the global surgery period
- Which broad modifier-related billing situations are discussed
- Why global period claim review is important for Medicare compliance
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance teams
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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