BC Advantage - 2024 Issue 7

Auditing the Global Package

When auditing provider services, what is the best method to approach the concept of a global package? Some rental companies provide a renter with all-inclusive pricing for an apartment. The payment arrangement covers heating, electricity, water, and garbage for the one-bedroom apartment. Anything outside of these restrictions incurs separate expenses, such as internet service. This concept is how Medicare and Medicaid Services (CMS) and many other payors have applied a single payment for surgical procedures with a 10 or 90-day global period.   Only physicians paid under the Medicare Physician Fee Schedule are eligible for a global surgical package...

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