global billing

  1. R

    Wiki Iowa FQHC Midwives Billing

    Hello is there anyone who bills/codes for midwives in the hospital setting for an FQHC? I understand the global billing its when the patient has Medicaid, MCO, or is self-pay that I am unsure what all we can bill for. I know being an FQHC also changes things. If anyone does this type of billing...
  2. L

    Wiki Post Op Wound

    If the patient's incision develops a wound postoperatively (90-day global) and comes into the office weekly for wound care, can we bill for the debridement? Or is this considered part of the global package? Even though it's a complication and requires the patient to come in more frequently than...
  3. K

    Wiki Contracting for office but not global for a nurse midwife, is this possible?

    I am looking for some guidance and have been unable to find any good info on this. I have a provider who is a nurse midwife and she is wanting to start seeing patients in her office for things like paps and well women checks. She is not contracted with any insurance company currently. What she...
  4. S

    Wiki CPT 59430 Postpartum Only - Telehealth

    Good morning to all you global billing masters! It's hard to believe we've come this far with telehealth and now the question arises as to whether it's appropriate or not to use telehealth POS when needing to bill with CPT 59430 postpartum care only. Have any of you had experience with this...
  5. K

    Wiki The global package

    Hello, I was wondering if someone could clarify this for me because I've seen contradicting things. If someone develops a compilation of pregnancy like gestational diabetes or gestational hypertension amd they are visiting for it I can bill it out separately because it's a complication, even...
  6. C

    Wiki OB Hospitalist Billing Question

    We have group of eight providers, who have an agreement with a laborist group at the hospital. We pay the laborist group a fixed amount to deliver our babies if one of our eight physicians cannot make the delivery. Due to the agreement, are we allowed to bill the global OB care under our doctor...
  7. K

    Wiki Wound Care after EXCISION PILONIDAL CYST/SINUS COMPLICATED

    Patient was seen in our OR for EXCISION PILONIDAL CYST/SINUS COMPLICATED. The patient follows up weekly for wound care treatment. The wound clinic is in the same hospital as the OR and is being done by the same physician. The note states: "HPI: Patient presents to office for followup wound...
  8. F

    Wiki Global post op periods

    I have a question, if a patient has had a procedure from a provider outside of our clinic and is not a partner in our clinic,does the 10 day, 90 day global period apply? We are an out patient hospital wound care and see patients after surgery for complications such as infection, no healing...
  9. 5

    Wiki post op visits modifier 24

    Hello, I was not able to find any post about post op care so here is my question. I need some help figuring out what we can bill for in the post op care. Most of the surgeries are 90 follow up that we deal with in our billing department. I bill for a group of multi specialty providers with...
  10. emeskina

    Wiki Please read! Too complicated to title, thank you!

    CTS performed a debridement and removal of sternal wires on patient with non-healing thoracotomy. Patient receives serial wound vac changes until wound is ready to close. Reconstructive Plastics specialist performs myocutaneous muscle flaps to close and CTS is the assist. Operative note...
  11. S

    Wiki Need advice on a global policy scenerio/issue ....

    Patient seen in observation by general surgery for consult for RLQ pain, fever & vomiting to evaluate for appendicitis. On 11.19 the surgeon clearly states in the consult "not likely surgical, will defer for further evaluation". Now, on 11.20, surgeon sees the patient again, decides that yes...
  12. B

    Wiki OB billing

    I have two questions that have been coming up for discussion: 1. What is the minimum number of prenatal visit to be able to bill the OB global code 2. If there is an established OB patient that we are seeing for prenatal and during that prenatal time she is due for her annual well visit and...
  13. J

    Wiki Global Billing for Antepartum Care, HELP!

    We have been billing 2 antepartum global charges to BCBS(NC), the first claim with the LMP-9/30/15, the second charge from 10/1/15-delivery in order to separate ICD-9/ICD-10 (billing this way ONLY for BCBS per their billing guidelines everyone else we bill globally gets one global charge). I...
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