tci Part B Insider - 2013 Issue 25

Physician Note: RAC Auditors Target E/Ms During Global As Problem Area

When CMS sends out a "reminder" about appropriate billing practices, you know you should listen. Last week, the agency published MLN Matters article SE1323, which "reminds providers of the global surgery period" and urges practices to review the rules for how to bill E/M services in these situations. RAC auditors found errors for E/M billing during all of the global periods, from 0 to 90 days, the article notes. Always remember that E/M services that you perform during the global period which are related to the surgery are included in the global payment, and are not separately billable even...

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