General Surgery Billing: What Gets Lost in Global Period Denials

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In general surgery billing, significant revenue is often lost during the global period due to denials, incorrect bundling, and documentation gaps that prevent separate reimbursement for eligible services. While the global surgical package is designed to simplify billing, it frequently creates confusion that leads to underpayments and missed revenue opportunities. General surgery involves procedures that trigger defined global periods, during which certain follow-up services are included in the original payment. However, not all services provided during this time are truly bundled. When practices fail to distinguish between included and separately billable services, revenue begins to slip. Why Global Period Billing Creates Revenue Risk The global period includes pre-operative, intra-operative, and post-operative care related to a procedure. While this structure is standardized, payer interpretations can vary, making compliance more complex. In many cases, services that should be billed...
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ASC Coding And Billing: Knowing What’s Important

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The basics of ASC Coding And Billing aren’t hard to master, but they do differ from physician and facility requirements. The following overview will help you know what’s most important in the ASC setting. ASCs use a combination of hospital and physician billing. Although ASCs use CPT and HCPCS Level II codes to bill most of their services (as do physicians), some payers will allow an ASC to bill ICD-10-CM procedure codes (like a hospital). Some payers even base implant reimbursement on revenue code classification.

One of the most fundamental differences between billing for professional services and billing for ambulatory surgery center services is the concept of the global surgical package. The global package applies to the professional component of a surgical service that is performed when using a surgical CPT code. On the professional side, this typically encompasses a 90-day follow-up. In the ASC billing methodology, no such surgical package exists.

Therefore, each time a patient enters the operating room represents a unique and separate encounter and has no historical economic relationship to previous encounters. This is a very important difference and very often leads to the need for qualifying modifiers. Those modifiers tend to clarify a situation such as returning to the operating room on the same day or returning to the operating room by another doctor on a different date.

To know more about ASC Coding And Billing: Knowing What’s Important click here: bit.ly/3EFQc8y Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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