tci Part B Insider - 2007 Issue 15

PART B MYTH BUSTER: The End Of Surgery Doesn't Have To Be The End Of Your Reimbursement

The world doesn't always revolve around the global periodMyth: You can't bill for post-operative complications during a global period, unless the patient returns to the operating room (OR).Reality: Medicare won't pay for post-op complications outside of the OR. But the American Medical Association-s CPT coding rules say the global period should only include -uncomplicated care,- says Barbara Cobuzzi, president of CRN Healthcare Solutions in Tinton Falls, NJ. And many non-Medicare payors will reimburse these complications in any setting.-This is one of many cases in which CPT and reimbursement rules -bump heads,-- says Jean Acevedo with...

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