In Coding
Oct 17th, 2018
Modifier 54 can be key when reporting a portion of global care All medical procedures that include a “global period” are comprised of three parts: pre-operative services, intra-operative services (e.g., performance of the actual surgery/procedure), and post-operative care (related follow-up visits during the 10- or 90-day global period). If a physician does not perform all ...
Coding thoughts for closed treatment of fractures without manipulation Coding closed treatment of fractures without manipulation can be a challenge. To ensure your coding results in proper reimbursement for the services rendered, let’s review fracture types, applicable codes, and the work they represent. Fracture Treatment Isn’t One Size Fits All When a patient is initially ...
In Coding
Apr 1st, 2018
Look at what kind of fracture it is, then decide whether it’s restorative or definitive care. By Jeannie Dean, CPC, COC, CPMA, CEMA, CEDC, CPC-I There is a common misconception that you cannot bill for fracture care in the emergency department (ED). In fact, emergency physicians regularly provide fracture care. To determine if fracture care ...
In Billing
Nov 28th, 2012
Trick question: How many days long is the Medicare 90-day global period? The surprising answer is 92. “Count 1 day before the day of the surgery, the day of surgery, and the 90 days immediately following the day of surgery,” advises the Medicare Learning Network “Global Surgery Fact Sheet.” Bundled services within that 92-day period ...
Sep 4th, 2012
If you’re a critical access hospital (CAH) method II provider, your Medicare contractors must now apply payment methodology used for global surgical split care. According to Centers for Medicare & Medicaid (CMS) rules for professional claims, outlined in CMS Transmittal CR7872, the global surgical care fee may be split if one physician provides the surgical ...