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Wiki unbunling vs global

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Janet Small

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Medicaid is denying 99232 which dr saw the patient on 5/24/11 they are including it with a 44160 which was preformed on 5/23/11 as part of the global package. I thought the global included f/u office visits after the patient was discharge from the hospital. Is this right or wrong. :confused:
 
Janet Small said:
Medicaid is denying 99232 which dr saw the patient on 5/24/11 they are including it with a 44160 which was preformed on 5/23/11 as part of the global package. I thought the global included f/u office visits after the patient was discharge from the hospital. Is this right or wrong. :confused:
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If it's the same physician, then it's included, even in the hospital. But, if he saw the patient for something unrelated to the surgery, then you can add a 24 modifier to the visit, and it should process. Hope that helps! ;)
 
Global package

Janet
You are right that the global includes f/u visits. You are wrong in intepretting that as meaning you can bill for them. What the global period inclusion means is that you CANNOT separately charge for the F/U visits that are routine postoperative care.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
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