How to Document and Bill Global ProceduresThe Medicare 90-day global period actually includes 92 days, and providers must document transfer of care to get appropriately paid for post-operative work, according to AAPC.
Providers should also factor in the day before and of surgery in addition to the 90-day period following the procedure. The bundled services within these 92 days include:
• Pre-operative visits after deciding to operate
• Usual intra-operative services
• Follow-up visits related to recovery
• Post-surgical pain treatment
• Supplies and services, such as dressing changes and removal of sutures
All services included in the global package must not be billed separately. Medicare includes rules for dividing payment between two physicians who split the work.
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