The Medicare 2015 Physician Fee Schedule Proposed Rule would eliminate 10- and 90-day global periods for all CPT procedure codes, according to an AAPC report. Here are four things to know about this element of the proposed rule.
1. The proposed rule argues that 10- and 90-day global periods often lead to inaccurate payments. Under the proposed rule the global periods would be eliminated beginning in 2017.
2. In 2017, procedures with 10-day global periods would transition to 0-day global periods, while procedures with 90-day global periods would transition to 0-day global periods in 2018.
3. All codes would be revalued to exclude services previously included within the global period. Providers would be allowed to report "medically reasonable and necessary visits" made separately during time outside the day of the surgical procedure.
4. CMS will accept comments on the proposed rule through September 2.
CPT Copyright 2013 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
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1. The proposed rule argues that 10- and 90-day global periods often lead to inaccurate payments. Under the proposed rule the global periods would be eliminated beginning in 2017.
2. In 2017, procedures with 10-day global periods would transition to 0-day global periods, while procedures with 90-day global periods would transition to 0-day global periods in 2018.
3. All codes would be revalued to exclude services previously included within the global period. Providers would be allowed to report "medically reasonable and necessary visits" made separately during time outside the day of the surgical procedure.
4. CMS will accept comments on the proposed rule through September 2.
CPT Copyright 2013 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
More Articles on Coding and Billing:
Physician Practice EHR Use 2012 vs. 2014
4 Questions to Ask Before Purchasing an EHR
New Patient Financing Tool Helps Providers Boost Self-Pay Collection Rates