Wiki Subsequent observation during gloabl period by other physician

[ljones88]

Hi all,

I need a little clarification on this situation.

Patient placed in obs for dehydration, stomach pain and undergoes 90 day global procedure by a specialist outside of our group while in observation. Observation was ordered by my physician.. If an outside physician performs surgery during an observation stay, can my physician still bill for their subsequent visits and discharge?

 

[Pathos]

Not sure if you are still looking for an answer, but here goes:

Is provider A who is ordering the observation the same provider A who is admitting the patient to the hospital? If so then since the admitting provider A is not the provider B who performed the surgery, the global period should not be counted against any subsequent visits/discharge.
If a different provider C admitted the patient, then the whole scenario doesn't quite make sense.

Hope this helps!