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CMS has assigned the number of follow up days are inclusive in the reimbursement for procedure codes in the relative value file. This information assigns 0, 10 or 90 day global surgery days to each procedure code that has pre and post-operative allowances in the reimbursement. But what happens when unrelated services and procedures occur during these periods of time? Utilization of modifiers allows providers to identify these types of services and procedures and allows reimbursement to occur. There are also adjustments made to reimbursement based on certain modifiers affecting contract compliance.
This webinar will allow attendees to understand inclusions and exclusions in the post-operative period based on the procedure, and the tools available in order to report for reimbursement circumstances that are non-related and should be separately reimbursed.
Who Should Attend
Billers, coders, reimbursement staff, RCM representative, collector, administrator, manager, claims processer, claims adjuster
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