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CMS/CPT Global Period

  1. #11
    Default Insurance and complications
    Medical Coding Books
    I guess this would be more of an insurance billing question but what if we billed out inpatient visit's with a complication diagnosis, would they pay or deny it ?? If they follow CMS guidelines i would assume they would deny it for global but would hate to chance it and they pay and we have to refund monies.

  2. Default Discharge service included in the global package
    I recently started working with an orthopedic physician and my background is with internal medicine. I encounter s few denias for discharge services as part of the global package. If the doctor admitted the patient, performed the surgery, follow up the patient in hosp and discharge the patient, are all the services included in the surgical global period or can i appeal the admission and discharge, what about the post op follow op in the hospital?please help!!!!!
    Thank you

  3. #13
    Default
    Quote Originally Posted by erosario View Post
    I recently started working with an orthopedic physician and my background is with internal medicine. I encounter s few denias for discharge services as part of the global package. If the doctor admitted the patient, performed the surgery, follow up the patient in hosp and discharge the patient, are all the services included in the surgical global period or can i appeal the admission and discharge, what about the post op follow op in the hospital?please help!!!!!
    Thank you
    Yes, all services are included in global package except the admit. Global for ortho is probably 90 so anything 90 days after surgery is considered global.

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