Results 1 to 6 of 6

Final 2015 Medicare physician fee schedule rule released, no more global periods....

  1. #1
    Default Final 2015 Medicare physician fee schedule rule released, no more global periods....
    Medical Coding Books
    Well I have spent the last 45 minutes reading the portion related to global periods and how they are going to phase them out starting with 10 day global periods in 2017 and 90 in 2018.

    It appears that we are going to have to start submitting regular E/M codes for each post-op visit when they do this. They are going to have to meet the same guideline requirements as all other E/M services as it does not appear they are going to create a new code or codes to represent these services.

    I must admit to be caught off guard by this one. Their logic makes sense, I'm just worried about the fall out and thought I would share.

    Laura, CPC, CPMA, CPC-I, CEMC

  2. #2
    Columbia, MO
    You know this probably will mean the reimbursement for every surgery will be decreased, this could be good or very bad!

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Baton Rouge
    I'd read a little something about this a couple months ago...glad to see there's something more official to refer to now

    BUT WOWWWW that's a big document!!!!
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

  4. #4
    New Windsor, New York
    I too read a short article about this earlier, now have something official. Gee, the official release of the fee schedule is a big document? Shocking!

    As for whether this will be good or bad - I think it will be good, as it will be more accurately reflect the work actually done by the physician because all follow-up visits will now be tracked. No "gaming" where another diagnosis is used and -24 is added (yes, I have seen that - and my concerns get ignored - one of the lessons I learned that got me interested in compliance!) If Debra's concern about reimbursement being decreased for some procedures is correct, hopefully that can at least be somewhat offset by now being able to charge for aftercare.


    Director, Health Information Management
    HealthAlliance of the Hudson Valley
    Kingston, NY

  5. Default Agree
    I agree that it should be good and is appropriate. It always seemed insane that for example discharge day management was part of the global. But I guess it remains to be seen how all this will work with the various payers. There is always a period of confusion!
    And I guess some of modifiers might not be necessary at some point. But don't want to assume.


  6. #6
    Monroe, NC
    My concern is for the patients who won't get aftercare since they won't be able to afford the high office visit copays. I suspect infection rates will increase and hospitalizations will as well. People just won't go when they can't afford it. There will be at home suture removals etc. I don't think it is reasonable and is detrimental to the patients. By the way reporting of post op visits has always been possible, just could not charge.

    Can you imagine new mothers with post partum depression who won't get help because they can't afford to go back?

    Very sad.

Similar Threads

  1. 2015 Physician Final Rule
    By dwaldman in forum Anesthesia
    Replies: 3
    Last Post: 11-07-2014, 11:15 PM
  2. Fee schedule released
    By wahmcoder in forum Behavioral Health
    Replies: 3
    Last Post: 11-27-2012, 06:03 AM
  3. Medicare Physician Fee Schedule
    By coderguy1939 in forum Medicare Regulations
    Replies: 4
    Last Post: 02-22-2011, 02:19 PM
  4. Medicare Physician Fee Schedule
    By dballard2004 in forum Family Practice
    Replies: 2
    Last Post: 06-02-2008, 02:02 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.