On Demand: Navigating Modifiers, the Global Surgery Package and Documentation Tips in CV-Webinar Recording

Video Transcription

Video Summary

In the second day of the bootcamp, the primary focus was on understanding and applying surgical coding modifiers, notably those related to the global surgery package. Jolene Bruder, Manager of Surgery Coding, alongside Jamie Quimby, Director of Coding, highlighted key aspects of modifiers, including when they should be utilized based on surgical circumstances, and how they affect claims processing. The session covered specifics on billing associated with preoperative, intraoperative, and postoperative periods within the context of Medicare's uniform payment policies. Emphasis was placed on understanding zero, 10, and 90-day postoperative global periods, and the necessity of precise documentation for claim justification.<br /><br />The session detailed practical examples for using modifiers such as 25, 51, 54-56, 57, 58, 78, 79, as well as co-surgeons and team surgeon scenarios. They underscored the importance of correct modifier usage, not solely for claim approval but to reflect accurate medical necessity and procedure documentation. Additional topics included the difference between assistant surgeons' roles and documentation, and modifier distinctions for repeat procedures (76, 77), reduced or discontinued services (52, 53), and split/shared visits (modifier FS).<br /><br />Participants were advised on optimal report documentation practices to ensure comprehensive and error-free operative notes, crucial for aligning claims with Medicare and commercial payer requirements. The session was augmented with practical Q&A interactions that reinforced learning with real-world applications of the discussed coding principles.

Keywords

surgical coding

modifiers

global surgery package

claims processing

Medicare

postoperative periods

documentation

modifier usage

assistant surgeons

repeat procedures

operative notes

coding principles

Q&A interactions