tci Part B Insider - 2008 Issue 16

PART B REVENUE BOOSTER: Don't Write Off Those Pre- or Postop Observation Care Dollars

Hint: Keep an eye on modifier choiceIf you-ve been eating the cost of preoperative observation care, now's your time to re-examine those charges.You probably know that the glo-bal surgical fee includes hospital ob-servation 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- 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 Trans-mittal 1466...

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