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 ...
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 ...
In Coding
Mar 1st, 2010
Effective May 17, Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) will implement policy and procedural changes in regard to how services submitted with certain modifiers are reimbursed. The insurer notified participating physicians of the changes in a letter dated February 2010. Modifier Payment Policy Changes on the Horizon was last modified: July 5th, ...