Limit post-op billing when provider changes practices during global period

Why This Topic Matters

Claims teams and physician practices need to know whether routine post-op visits can be billed separately when a provider changes organizations mid-global period. The article clarifies the general billing framework and highlights related policy areas that can affect reimbursement and patient encounter reporting.

Article Sections

1. Question

   Introduces the billing scenario involving a surgeon, a practice change, and postoperative follow-up during a global period.

2. Answer

   Summarizes the general treatment of postoperative services when care continues after the physician moves to a new practice.

3. Split services and transfer arrangements

   Discusses situations in which postoperative care may be organized across different providers or locations and mentions related reporting considerations.

4. New vs. established patient status

   Notes that patient status can be affected by the provider relationship and the physician’s practice transition.