Target Audience:

• Physician Coding Personnel
• Billing and Claims Transaction Personnel
• Chargemaster Coordinators
• Utilization Review Personnel
• Financial Analysts
• Compliance Personnel
• Physicians
• Internal Auditing Staff
• Other Interested Personnel

Webinar Objectives:

• To review the general concept of the global surgical package (GSP)
• To review the Medicare GSP for Use with the Medicare Physician Fee Schedule
• To provide examples and case studies on coding for physicians relative to the Medicare GSP
• To review the global surgical concept for APCs (Ambulatory Payment Classifications)
• To review the global surgical concept for MS-DRGs (Medicare Severity Diagnosis Related Groups)
• To understand the many different ways that the Medicare program bundles or packages services relative to surgeries
• To appreciate associated processes such as the use of the “-25” and “-59” modifiers
• To understand that private third-party payers also have GSPs with possibly different definitions

The following are a few of the topics to be discussed:

• Global Surgical Package Concept
  • Blanket Payment for Surgery
  • Surgeon Orientation vs. Surgery Orientation
  • Variation on a Theme
• Medicare GPS for MPFS
  • Pre-Operative Period and Services
  • Intra-Operative Period and Services
  • Post-Operative Period and Services
    • 0-Day
    • 10-Day
    • 90-Day
  • In-Hospital Post-Operative Care vs. Post-Discharge Care
  • “-54”, “-55” and “-56” Modifiers
  • Indicators within the MPFS
  • Transfer of Care for Post-Operative Services
  • Case Studies and Examples
• Related Surgical Packaging in Other Payment Systems
  • MS-DRGs - Pre-Admission Window
  • APCs - Surgical Packaging
  • Private Third-Party Payer Use of GSPs
  • Compliance Concerns
• Sources for Further Information

Webinar Level: Intermediate

Contact Hours:

Upon attending this course you will receive a 1.8 Nursing Contact Hour Certificate or a 1.5 Contact Hour Attendance Certificate. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.