Global Surgical Package
Description
Discover the intricacies of medical coding with this comprehensive course. Gain a deep understanding of the global surgical package, learning how to bill for it effectively while exploring the three crucial phases: pre-operative, intra-operative, and post-operative care. Delve into essential definitions, including global surgery fees and their associated services, and explore the various global surgery settings. Dive into the types of global surgical packages based on post-operative days, dissect global surgery indicators, and grasp what's included in the global package, from pre-operative visits to pain management. Understand what falls outside this package, such as initial consultations or distinct surgical procedures, and get insights into minor surgeries and endoscopy guidelines. Finally, learn how to navigate situations when a physician furnishes less than the full global package and recognize the organizational impact of accurate reporting and reimbursement.
Included Lessons:
- What is a Global Surgical Package?
- Definitions
- Global Surgery Settings
- Types Of Global Surgical Packages (Based On The Number Of Post-operative Days)
- Global Surgery Indicator
- What Is Included In The Global Package
- What Is Not Included In The Global Package
- Minor Surgeries And Endoscopy Guidelines
- When Physician Furnishes Less Than The Full Global Package
- Organizational Impact
Key Takeaways
Completing this course will equip medical coders with the expertise needed to navigate the complexities of global surgical packages, making them valuable assets in healthcare settings where accurate coding and billing are essential. Some key takeaways include:
- Comprehensive Understanding of Global Surgical Packages: Coders will have a thorough comprehension of what global surgical packages entail, including the three critical phases: pre-operative, intra-operative, and post-operative care.
- Knowledge of Global Surgery Settings: Coders will be well-versed in the various settings where global surgical packages apply, such as inpatient and outpatient hospital-based clinics, ambulatory centers, and physician offices.
- Types of Global Surgical Packages: Coders will know the different types of global surgical packages based on the number of post-operative days, including zero-day, 10-day, and 90-day periods, and how to calculate them accurately.
- Global Surgery Indicators: Coders will understand how to interpret global surgery indicators assigned to CPT procedure codes, allowing them to apply payment rules correctly.
- Inclusions in the Global Package: Coders will be able to identify what is included in the global surgical package, from pre-operative visits to complication management and post-surgical follow-up care.
- Exclusions from the Global Package: Coders will learn what services and procedures are not included in the global package, such as initial consultations, unrelated visits, and diagnostic tests.
- Minor Surgeries and Endoscopy Guidelines: Coders will become familiar with specific guidelines related to minor surgeries and endoscopies, including the post-operative period, when separate billing is allowed, and exceptions.
- Handling Partial Global Packages: Coders will know how to handle situations where a physician furnishes less than the full global package, including the use of modifiers and transfer agreements for post-operative care.
- Critical Care and Modifier Usage: Coders will grasp the nuances of critical care services in relation to global surgical packages and when to use modifiers for reporting.
Benefits of Taking this Course
- Better Compliance
- Enhanced Coding Expertise
- Improved Accuracy
- Increased Understanding of Global Surgery
- Real-World Coding Capabilities
FAQs
What is a global surgical package, and why is it important for medical coders?
What services are included in the global surgical package?
Services included in the global package typically encompass pre-operative visits, intra-operative care, post-operative follow-up, pain management, and various supplies and miscellaneous services directly related to the surgery. Complication management is also included.
Are diagnostic tests and procedures included in the global surgical package?
How does knowledge of global surgical packages impact medical coding accuracy?
About our Medical Coding Courses
HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a comprehensive online education platform for medical coders. With a catalog of over 200 medical coding courses accepted by the American Health Information Management Association (AHIMA) for Continuing Education Units (CEUs) and a selection approved by the American Academy of Professional Coders (AAPC), HIAlearn caters to both beginners and experienced medical coders seeking to enhance their skills. The platform provides an array of training plans tailored to meet individual learning needs, from mastering challenging coding procedures to understanding broad conceptual frameworks within the coding world. Courses are available across various coding types including CPT, E/M, ICD-10-CM, ICD-10-PCS, and are designed to cater to different coder levels and coding specialties such as inpatient, outpatient, profee, and CDI. Additionally, HIAlearn offers a Coding Updates bundle to ensure coders are up-to-date with the annual changes in ICD-10-CM, ICD-10-PCS, CPT, and IPPS. Beyond individual learning, HIAlearn supports organizations with group discounts, promoting enhanced coding accuracy, efficiency, and compliance across teams.