whyteraven
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Hello everyone! I have a question...
I work with several different specialties and I've ran into a situation with post op visits. Appearantly, there are times that patients are seen and the offices mark them as post op (specifically 99024) and they are way past their post op period. This could be 4 months later when they only have a 90 day global. The situation I'm running into is that the person who sets up our computer software believes that the 99024 should be billed with a charge. In her arguement, BCBS has a fee listed with this procedure code, and if we were billing it out with a charge we would not be missing out on charges that are outside the global period by mistake.
I'm a bit concerned about weather this is fraudulent or not?? On one hand I understand her concerns about missing out on charges because the physician wants to no charge them and uses the 99024. On the other hand, couldn't this be considered "unbundling" the surgical package if we bill it within the post op period with a charge? I believe it should be up to the physician, or physician's office who did the surgery to be responsible for tracking their global days.
Confused and worried??
I work with several different specialties and I've ran into a situation with post op visits. Appearantly, there are times that patients are seen and the offices mark them as post op (specifically 99024) and they are way past their post op period. This could be 4 months later when they only have a 90 day global. The situation I'm running into is that the person who sets up our computer software believes that the 99024 should be billed with a charge. In her arguement, BCBS has a fee listed with this procedure code, and if we were billing it out with a charge we would not be missing out on charges that are outside the global period by mistake.
I'm a bit concerned about weather this is fraudulent or not?? On one hand I understand her concerns about missing out on charges because the physician wants to no charge them and uses the 99024. On the other hand, couldn't this be considered "unbundling" the surgical package if we bill it within the post op period with a charge? I believe it should be up to the physician, or physician's office who did the surgery to be responsible for tracking their global days.
Confused and worried??