My name is Ashley Sims...and I work at a cardiology clinic in Jackson, TN. We have been getting a lot of denials on hospital and office visits that are subsequent to procedures that have a 90 day global period...stating that the visit is bundled with the procedure...my office manager wants me to add a -24 modifier to the e/m and change the dx codes so that we will get paid...I have gotten with him numerous times and told him that this cannot be done unless the visit is for something completely different but these patients are being seen specifically for hospital follow up and the dx codes are the same...so he decided that he would try to hire another doctor to do the visits after a procedure and try to get it paid that way...but I have been told that this will also be considered bundled...so now he is rescheduling all office visits for 91 days after a procedure...is this something that can be done and I am coding this correctly?? Is there some other way that I can code this that will get it billed because he seems to think that there is! I am having so many problems with this but I really feel that I am correct on this one and that this bundled and that there is no way to unbundle it!