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Post operative period for self pay

  1. #1
    Default Post operative period for self pay
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    I need something in writing that says yes you can bill for post operative care during a global period for self pay patients or no you can not bill for post operative care for self pay patients. It seems unethical to bill a self pay patient for a charge you would not bill for and insured patient but I can not prove it.
    thanks
    Debbie Potts England
    Lyles, TN 37098

  2. #2
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    Quote Originally Posted by DebbiePotts View Post
    I need something in writing that says yes you can bill for post operative care during a global period for self pay patients or no you can not bill for post operative care for self pay patients. It seems unethical to bill a self pay patient for a charge you would not bill for and insured patient but I can not prove it.
    thanks
    You already have something in writing, in your CPT book at the beginning of the surgery section it gives you the "definition" of the surgical package, and it includes "typical postoperative follow-up care". The global is a CPT rule not a payor rule. Payment for post op care is included in the surgical fee, you would technically be double billing them, they are already paying for post-op care in the surgery fee.

  3. #3
    Default
    thank you. I knew that i had read it but I could not remember where. If i don't have it in black and white i may as well be talking to a brick wall.
    thanks agin.
    Debbie Potts England
    Lyles, TN 37098

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