May 2017 ~

Beginning July 1, CMS will require practitioners in one of nine states to report on claims data on post-operative visits furnished during the global period of specified procedures using CPT code 99024.

For procedures furnished on or after July 1, 2017, selected practitioners required to report on postoperative visits furnished during a global period using CPT code 99024 for visits following 293 specified procedures. The list of CPT codes can be found here.

Who is required to report?

Billing practitioners (physicians and non-physician practitioners) are required to report post-operative visits if they:

• practice in one of nine states randomly selected by CMS
  • Florida
  • Kentucky
  • Louisiana
  • Nevada
  • New Jersey
  • North Dakota
  • Ohio
  • Oregon
  • Rhode Island

and

• practice in a group of ten or more practitioners

and

• are part of a practice that provides global services under one of the required procedure codes.

According to CMS, the specified procedures are those that are furnished by more than 100 practitioners and either are nationally furnished more than 10,000 times annually or have more than $10 million in annual allowed charges.

The CY 2017 Medicare Physician Fee Schedule (PFS) final rule adopted a data reporting requirement for practitioners furnishing specified global procedures in the states listed above. CMS will use reported data, along with other data to establish payment rates under the PFS.

For complete details on these changes and information on how to report post-operative visits, see CMS’ Global Surgery Data Collection page.

 

Source(s): MGMA Washington Connection; CMS; ReedSmith; MLN Connects (pdf);