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Posts Tagged modifier -54

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Everything You Ever Wanted to Know About the Global Surgical Package: Coding and Billing for the GSP

Posted by Mary Pat Whaley on March 20, 2012

If you do the professional fee (pro-fee) coding or billing for surgeries, you know that the rules surrounding the Global Surgical Package (GSP) are many and can be complex. CMS just published a new fact sheet on the GSP and it’s a great recap for coders and billers.

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Tags: 000, 090, 10 post-operative days, 90 post-operative days, 919, ambulatory surgery center billing, ASC billing, CMS, critical care unit, decision for surgery, endoscopy post-op periods, follow-up surgical care by a different physician, global surgical package, GSP, hospital inpatient surgery coding, HPSA, intensive care, intra-operative, Medicare Claims Processing Manual, modifier -24, modifier -54, modifier -55, modifier -57, modifier -58, modifier -62, modifier -66, modifier -78, modifier -79, modifier 25, MPFS, outpatient surgery coding, physician office procedure billing, post-operative, post-operative complications, post-operative days, post-surgical critical care services, post-surgical pain management, pre-operative, pro-fee, professional fee billing, split global care billing, Surgery Wrong Body Part, Surgery Wrong Patient, written transfer agreement, Wrong Surgery on Patient, YYY, zero post-operative days, ZZZ

Posted in: Collections, Billing & Coding, Compliance, Medicare & Reimbursement

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