GLOBAL SURGERY: Watch Those Modifier 79 Claims, One MAC Advises

Why This Topic Matters

Global surgery claims are a common source of billing errors and compliance review. Understanding the broad Medicare framework and the modifiers discussed in the article helps readers assess whether claims and documentation align with contractor expectations.

Article Sections

1. Global Surgery and Contractor Review

   Introduces the article’s focus on global surgery billing and the contractor attention being given to claims in this area.

2. Global Period Overview

   Summarizes the components generally included in the global surgical package and the services commonly considered part of that period.

3. Modifiers in the Postoperative Period

   Discusses the broad use of postoperative-period modifiers in situations involving additional procedures or services during the global period.

4. Split Care

   Covers the general concept of multiple physicians sharing surgical, preoperative, and postoperative components of care under the global fee.