Why is the physician claim being denied for the global period when the physician has only rendered one service?
Evaluation and management services and surgical procedures performed within the post-operative period of a surgical procedure are considered to be part of the surgical package when rendered by physicians in the same group practice who are in the same specialty. Please refer to the CMS Medicare Claims Processing Manual, Chapter 12 for complete guidelines and instructions for billing services in the global surgical package.
Related Questions
- I have an outpatient claim that denied with reason code C7050 because the dates of service fall within the dates of service of an inpatient hospital claim. What do I do?
- Does the physician have to demonstrate medical necessity when appealing a denied claim or service?
- Can an alien physician relocate to another underserved area during the 5- or 3-year service period?
