help!!

bsurovick

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here is the scenario...pt was seen by doc in hospital on 2/13, 2/14 and 2/15...pt has surgery on 2/18/08...then returned to OR on 2/25/08...medicare denying dos 2/18/08 as needing modifier b/c it's in a global. pt also had heart surgery. i can't find a modifier for surgery performed by different physician in post op period. any ideas?

Bridget
 

Lisa Bledsoe

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Can you elaborate on the two surgeries and if they were done by physicians using the same NPI? You may just have to appeal with your supporting documentation.
 

bsurovick

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Two different surgeons, two different NPI's. He had a heart cath the day before, and the my doc (general surgeon) took him to the OR for gallbladder surgery. i am starting to think i just need to submit with documentation/justification as well!

Bridget
 
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