A patient comes into the ED for bilateral setting of shoulders. Should the ED bill the setting of the shoulder with -54 modifier and the Ortho doc charge with -55 modifier? The orthopedic physician wants to charge Office visits for follow up care. He does not feel he should be part of the global package. Both physicians are employed by the organization, but the orthopedic physician states he has a specialty (different class then ED physician), but there is a global package. One conference I attended stated "if you split the global package, there needs to be a written note to the post op physician taking over the care, so the physician can bill correctly with modifiers.
Please give me your expertise
Sheila Sweetland, CPC
Please give me your expertise
Sheila Sweetland, CPC