tci Medicare Compliance & Reimbursement - 2008 Issue 19

Revenue Booster: Don't Give Up On Pre- Or Postop Observation Care Payment

Keep an eye on modifier choice If you've been eating the cost of preoperative observation care, now's your time to re-examine those charges. You probably know that the global surgical fee includes hospital observation service payment -- but what you may not know is that you can report those observation services separately in some cases. Although many other insurers have allowed you to bill certain observation services within the global period for years, CMS's stance was vague. But that changes with the introduction of new Medicare guidance that can make the issue easier to understand. According to recent CMS...

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