• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Global Denial

NESmith

Expert
Messages
308
Best answers
0
We have a patient that one of our Infectious Disease providers saw and did a Oasis application that has a 90 day global. In the meantime the patient was admitted to the hospital and a General surgeon did a excision of a sacral presurre wound with a rotation flap closure which also has a 90 day global. While the patient was in the hospital the patient developed a low grade fever and another one of our Infectious Disease provider was called into see the patient. Medicare is denying his services as inclusive to another service. Is it denying against the surgeon or the other Infectious Disease provider? And if it is which modifier would be appropriate or would these visits be considered a follow-up and included in the global procedure? Thanks for your help
 
Messages
4,466
Location
Milwaukee WI
Best answers
0
Global denial is correct

The global period applies to the physician who performed the procedure - AND to any other physician in the same practice with the same specialty.

Your infectious Disease specialist performed a procedure with a 90-day global period. Your second ID specialist (if in the same practice as the first) is covered by the global period. Medicare will NOT pay for ANY visits related to the procedure, including subsequent hospitalization for complications.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
Top