Wiki Globals Performed Together

[dsconsultsolutions]

Can someone please advise as to whether or not this is accurate? Thank you!!

When a 10 day global and a 90 day global are performed together, it becomes one component. Both procedures fall under 90 day global. If by chance a Payor does pay an E&M with a 24 modifier, the chance of being redacted is possible. If during a review, a Payor finds up to 4 errors, a 6 month review is possible. If more than 4 errors are found, a whole year review could be requested. There is also the possibility of an exception. In that exception, the Practice would not be able to bill or use modifier 24 for anything for approx 6-12 months.

 

[csperoni]

What are you trying to determine whether or not is accurate? You have many statements there.
Yes, if a provider performs 2 procedures and either one of them has a 90 day global, then all work included in the global surgical package is included for 90 days.
Yes, if you incorrectly bill -24, the payor may take back the payment, which would be correct if the -24 was not warranted.
Whether the rest of your statement regarding the consequences of a payor audit is accurate depends on the payor policy and/or your contract.