Global Period
A global period is a bundled payment system that covers all care related to a surgery provided by the surgeon or their team before and after the procedure.
What is a Global Period?
A global period is a bundled payment system in medical billing established by Medicare to cover extensive surgical treatments and processes. It encompasses all care related to a surgery provided by the surgeon or their team, both before and after the procedure. This system helps payers determine what is included in the surgical package, preventing separate billing for surgical procedures, post-operative visits, and care by healthcare providers seeking complete and timely reimbursements.
The global period can vary based on the type of surgical procedure, typically falling into 0-day, 10-day, or 90-day categories as defined by the Centers for Medicare & Medicaid Services (CMS). A 0-day global period means no preoperative or postoperative care is included, covering only the day of the procedure. A 10-day global period includes services and follow-ups related to the operation within 10 days, billed at once. A 90-day global period covers all follow-up visits or services provided by the healthcare providers or their staff. The specific global period assigned to a procedure is determined by factors such as its complexity and typical recovery time.
What is the difference between a Global Period and Current Procedural Terminology (CPT) codes?
A global period is a bundled payment system in medical billing for surgical treatments, covering care before and after the procedure to prevent separate billing. CPT codes, in contrast, are a set of medical codes used to describe medical, surgical, and diagnostic services provided by healthcare professionals.
Global periods are specific to surgical procedures and define a timeframe for bundled payments including pre- and post-operative care.
CPT codes are a standardized classification system for various medical procedures and services, not limited to surgery.
Global periods aim to prevent separate billing for related surgical services within a defined timeframe, simplifying reimbursement.
CPT codes are used for reporting and billing individual services, allowing for detailed tracking of procedures performed.
What are examples of a Global Period?
A 0-day global period means no preoperative or postoperative care is included, covering only the day of the procedure, for example, a minor surgical procedure.
A 10-day global period includes services and follow-ups related to the operation within 10 days, billed at once, such as for a slightly more involved outpatient surgery.
A 90-day global period covers all follow-up visits or services provided by the healthcare providers or their staff, typically for complex surgical procedures with longer recovery times, like a major organ transplant.
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