solocoder
Expert
In our clinic we have a room called "the procedure room" which is used for minor surgeries only. Doctor removed painful hardware during a global (medicare) in the procedure room. Is there any chance Medicare would consider this to be a "return to the OR"? The POS on the claim would, of course, be clinic, so I don't see how it's going to fly.
Would love to hear some opinions.
Here is medicare's definition of an OR:
An OR for this purpose is defined as a place of service specifically equipped and staffed for the sole purpose of performing procedures. The term includes a cardiac catheterization suite, a laser suite, and an endoscopy suite. It does not include a patient’s room, a minor treatment room, a recovery room, or an intensive care unit (unless the patient’s condition was so critical there would be insufficient time for transportation to an OR)
Would love to hear some opinions.
Here is medicare's definition of an OR:
An OR for this purpose is defined as a place of service specifically equipped and staffed for the sole purpose of performing procedures. The term includes a cardiac catheterization suite, a laser suite, and an endoscopy suite. It does not include a patient’s room, a minor treatment room, a recovery room, or an intensive care unit (unless the patient’s condition was so critical there would be insufficient time for transportation to an OR)
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