I really seem to be struggling with patients that come in for screening colonoscopys.
The patient comes in for a screening, and is a new patient referred by their family physician. According to Medicare guidelines we cannot bill for that pre-op-even though our physician has never seen that patient before-unless patient has a problem that is revealed during that exam, or is on Coumadin. So if our doctor sees that patient prior to the surgery-which he does-it is coded as a freebie or post op charge. Patient then has their colonoscopy and our doctor brings the patient back in to give them their results.Since colonoscopys have a zero global period-can we bill them for that post op visit?
Or is that considered part of the global surgical package?
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