tci Medicare Compliance & Reimbursement - 2017 Issue 10
Clip And Save: Reimbursement: Master Global Periods with This Top 10 Check List
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Article Overview
This article reviews a practical checklist for understanding what can and cannot be billed during a global surgical period. It is aimed at coders and billing staff who need a broad working knowledge of Medicare global surgery guidance, related E/M reporting, postoperative services, and other circumstances that may affect reimbursement during the global period.
Why This Topic Matters
Global surgical packages are a common source of billing uncertainty. This article helps readers identify the general categories of services discussed in Medicare guidance so they can better determine whether the premium article is relevant to their coding and reimbursement questions.
Article Sections
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Overview of global surgical periods
Introduces the general issue of services performed during a global surgical period and the concern about what is included versus separately reportable.
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Checklist of services that may be separately reported
Presents a numbered checklist of service categories that can arise during the postoperative global period, including evaluation and management services, physician involvement, diagnostic services, additional procedures, postoperative complications, transplant-related therapy, and critical care.
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Resource
Provides a reference to Medicare’s Global Surgery Fact Sheet for readers seeking the source guidance discussed in the article.
What You Will Learn
- How the article frames the scope of global surgical period reimbursement issues
- What broad types of services are addressed in Medicare global surgery guidance
- Which general situations the article says are relevant to separate reporting during the global period
- How the article connects postoperative services with Medicare Learning Network guidance
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Physician practice administrators
- Compliance staff
Codes Discussed
Modifiers Discussed
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