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General Surgery Billing

Do you know what the true definition of a “Global Surgical Package” is? 

Per CMS January 2013 Update, the definition consists of all necessary services performed by the provider before, during and after a surgical procedure.  Medicare payment includes all applicable preoperative, intra-operative, and postoperative services, including care due to complications from the surgery.  Global Surgical Package may be furnished in any setting, such as hospitals, ambulatory surgical centers (ASCs) and provider offices.  Visits to a patient in an intensive care or critical care unit are also included if made by the surgeon.  However, critical care services (99291-99292) are payable separately in some situations (e.g., a seriously injured or burned patient who is critically ill and requires constant attendance by the provider.)

Surgeons require a Revenue Cycle Management company that understands the importance of CPT modifiers, global surgical days and evaluation and management billing.  General Surgery Billing is lower volume higher dollar billing that requires attention to detail from entering the patient demographics to coding of the service and assignment of modifiers.  Claim follow-up is also important with the timely filing limits payers have and the large balances generated by surgery practices.

CBS provides a dedicated and certified Medical Biller/Coder to your practice as well as providing constant communication as to issues and concerns regarding the claims for your patients whether it is in regards to CPT, ICD-9/ICD-10, and Modifier usage.  With CBS’ weekly and monthly reports, you are never in the dark regarding your charges and revenue, which is the life line of your practice.

If you would like to put our expertise to work for you, contact CBS today.