dollybrandie
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Looking for insite into this situation. Patient has surgery and for some reason the OR documentation is delayed by the performing surgeon and no surgical charges are billed for several weeks. In the mean time, the surgeron sees the patient on follow-up and bills a E&M level of service. The bill is processed through the system and is not "caught for global issues" due to the lack of surgical charges in the system. Normally our billing system would catch the E&M and that charge would be changed to "no bill". In this scenerio it gets paid by, let's say, Medicare prior to them receiving the surgical claim.
My question is this, has this scenerio happen to others and what was the outcome. We are attempting to be pro-active.
My question is this, has this scenerio happen to others and what was the outcome. We are attempting to be pro-active.