Part B Revenue Booster: Achieve Global Dominance With This Global Period Primer

Why This Topic Matters

Understanding global periods helps reduce avoidable denials, resubmissions, and appeals. The topic is especially relevant when billing evaluation and management services on the same day as procedures or when dealing with procedures whose global status is set differently by Medicare or private payers.

Article Sections

1. Count Your Days for Major or Minor

   Introduces the global period categories tied to defined postoperative timeframes and distinguishes between minor and major procedure groupings. It frames how Medicare associates those timeframes with procedure payment.

2. Manage 25 With Minor Procedures

   Discusses how same-day evaluation and management services are handled in the context of minor procedures and the associated documentation concept. It also identifies the relevant modifier discussed in this scenario.

3. Rely On 57 For E/Ms With Major Procedures

   Covers the relationship between major procedures, same-day or preoperative evaluation and management services, and the modifier referenced for decision-for-surgery situations. An example is used to show the general billing context.

4. Avoid Pigeon-Holing Groups

   Summarizes the remaining global period categories that do not use the standard day-count framework. It includes broad descriptions of maternity, unassigned, unlisted, and related-to-primary-procedure classifications.