GLOBAL INCLUSIVE DENIAL | GLOBAL PERIOD| BUNDLED | INCLUSIVE |

GLOBAL INCLUSIVE DENIAL IN MEDICAL BILLING | AR CALLER | WHAT IS GLOBAL INCLUSIVE | BUNDLED | INCLUSIVE |GLOBALDENIAL|
GLOBAL PERIOD: When a Surgery rendered there should be a follow up visit, regarding that particular Surgery is called Global Period. If a claim denied during the global period by same doctor is known as Global inclusive. Global period is 10 to 15 days for Minor Surgery and 90 days for Major Surgery.
AR FOLLOW UP:
Do proper analysis on claim, whether the same services paid for same Doctor during global period or not? If you good at coding and if you confirmed that denied CPT is not related (or not global inclusive) to other paid CPT, then do modifications accordingly and RESUBMIT the corrected claim. Otherwise task to CODING ASSISTANCE for corrections on claim.
(Example (Before correction) Claim 1: DOS 01/01/2022 Surgery DOS
LINE1 23650 paid
LINE2 99284 57 paid
Claim 2: DOS 01/13/2022 FOLLOW UP visit DOS (Global Period)
LINE 99285 Denied with reason code C0-97/N525 (Global Inclusive).
(After Correction): Claim2 : DOS 01/13/2022 LINE 99285 24
(Here MOD 24 states that Un related E/M code performed during Global Period by the same Doctor))
If still claim denied the same after resubmission, do review and APPEAL the claim with complete Medical records.
If APPEAL APPROVES by an Insurance, your doctor will get payments.
If APPEAL UPHELD by an insurance, your Doctor should WRITE OFF (ADJUST) the claim as an Global inclusive.
:: Thanks For Read &Time - Have A Great Health ::
Denial Management Global Inclusive
what is Global Period in Healthcare
what is MINOR SURGERY & MAJOR SURGERY
what is follow up period or visit
MODIFIER 24
MODIFIER 24 explains that Unrelated E&M code performed during GLOBAL PERIOD.
Appending MODIFIER 24 leads to separate payments.
The global period may be 90, 10, or 0 days. According to Medicare, a major surgery has a global period of 90 days, and a minor surgery has a global period of either 10 or 0 days.
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