Jan 18 - Global Fee Periods
Today, we can talk about the Global Fee Periods published by Medicare and followed by alot of different insurance carriers. Unfortunately, there is a lot of confusion in the minds of folks regarding global fee periods as many think they are for surgeons only - which is not true. They apply to all doctors and most services. There are basically 4 different Medicare fee periods:
- 1 day global: These are shown on Medicare reports (and those you can download on my Free Documents page) as 000. Medicare says the day of the procedure, plus ZERO additional days are paid for as part of the procedure. This is their way of saying "one day".
- 10 day global. The day of procedure plus 10 days, anything done related to the surgery is bundled into it - per Medicare. It's interesting to note that cpt and private insurance only bundle "routine" follow up services, but Medicare bundles anything related. There is a big difference in those two - so pay attention.
- 90 day global means the day prior to the day of surgery, the day of surgery plus 90 days following the day of surgery are bundled into the surgery.
- The last one are those shown by XXX. This means the global fee concept doesn't apply. Many people mistake 000 for meaning that - which is a huge mistake. Y
- You can read more about this subject in my book. Don
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