Medicare Compliance & Reimbursement - 2013 Issue 32
Reader Question: Are Global Periods Transferable?
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Article Overview
This article explains a scenario involving hospital care during a surgical global period and discusses how coverage relationships between physicians or groups can affect billing considerations. It is aimed at coders, billers, and physician office staff who need to understand the general impact of global surgical periods on inpatient or emergency care reporting. The discussion focuses on when a physician may be considered part of the original surgical coverage arrangement versus when services are treated separately for billing purposes.
Why This Topic Matters
Understanding whether care falls under another physician’s global period affects whether hospital evaluation and management services are potentially reportable. The article helps readers distinguish between coverage arrangements and unrelated call coverage in a hospital setting.
What You Will Learn
- How global surgical periods can relate to care delivered by another physician or group
- How coverage arrangements may affect whether hospital services are considered part of the original surgical care
- How the article frames inpatient and emergency-room-related hospital care billing questions in a global period context
- General considerations for documenting and evaluating physician call coverage scenarios
Who Should Read This
- Medical coders
- Medical billers
- Physician office staff
- Revenue cycle staff
- Compliance staff
Codes Discussed
Code Ranges Discussed
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