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Global surgery post-op visits reporting

8/10/2017

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CMS Require Global Surgery Reporting for Post-Op Visits Effective July 01, 2017 from 9 States CMS now require providers who are part of a group practice with 10 or more providers; and are practicing in the State of Florida, Kentucky, Louisiana, Nevada, New Jersey, North Dakota, Ohio, Oregon and Rhode Island to report CPT Code 99024 to indicate a post-operative visit during a 10-days or 90-days global surgical periods. This is required for surgeries performed on and after July 1st 2017.
Reporting Process for Post-Operative Visits CPT Code 99024
  • Reporting is only required for post-operative encounters during the global surgical periods with the dates of service on or after July 1st 2017;
  • Report the post operative encounters through the usual submission of your claims;
  • Modifiers and Time Units are NOT required;
  • You can add the CPT Code 99024 several times on the claim if the services rendered are within the applicable range of dates;
  • Reporting is ONLY required if Medicare is Primary Payer and is traditional fee for service Medicare patients.
Qualifying Post-Surgical Visits and Place of Service:
  • All Follow-up visits during the global surgical period (10-days or 90-days); post-operative services provided must be related with the original surgery;
  • Place of service: (Hospitals, SNF, Physician Offices and Outpatient Clinics);
  • If patients are at an eligible originating site, Telehealth encounters must also be reported.
 The CPT Codes for Required Global Surgery Reporting for CY 2017 can be found from CMS Website as a Downloadable File.

​Reference:
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/Global-Surgery-Data-Collection-.html


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    Ms. Pinky Maniri-Pescasio is the Founder of GoHealthcare Consulting. She is a National Speaker on Practice Reimbursement and a Physician Advocate. She has served the Medical Practice Industry for more than 25 years as a Professional Medical Practice Consultant.

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