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GLOBAL/POSTOP CARE

T

TanBro

Networker
Messages
95
Location
Sioux City, IA
A patient had a surgery in another State (hysterectomy). She Saw that provider for one post op visit, but got sent back to us for 2 more post op visits. That Doctor billed global 58571 with no modifier or transfer of post op care paperwork done. Can I charge for these visits? Or do I do a no charge?
 
sorry, I am not an expert but i would bill for the service because 1. no transfer paperwork was done. 2. it's a different NPI, Tax, out of state provider.
 
natashalage said:
sorry, I am not an expert but i would bill for the service because 1. no transfer paperwork was done. 2. it's a different NPI, Tax, out of state provider.
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I think I agree with you on this as the surgeon took all the money and left no recourse for the other physician. In the ideal world he would have billed the surgery with the surgery preop and intraop modifiers and let the other provider bill the same code with the postop modifier, but in point of fact, one postop visit was done by the surgeon so the intent of these modifiers is not met. The patient's provider in her own state should bill these as regular E/M visits, but be clear on the nature of the visit as postop. That may cause the payer to ask the surgeon for some money back.
 
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