Global Surgical Package Concept in Healthcare Payment Systems

Event Information
Product Format
Prerecorded Event
90 Minutes
Product Description

Demystifying Medicare Global Surgical Package Concept with Dr Duane Abbey

How does the global surgical package (GSP) work? Is this package the same for physicians and hospitals? How should physicians handle post-operative care relative to hospitalists? Are E/M services always bundled into surgical services? How should physician handle transfer of post-operative care? Is the “-57” modifier used by physicians or by hospitals? How do the NCCI Coding Policy directives affect the GSP? Is there a GSP for DRGs? Is there a GSP for APCs? What about private payer GSPs? What services should be bundled into surgical payment?

Find the answer by joining expert speaker Dr. Duane Abbey in this 90-minute audio conference. Dr Abbey would help you:

  • Review the general concept of the global surgical package (GSP)
  • Review the Medicare GSP for use with the Medicare physician fee schedule
  • Comprehend the National Correct Coding Initiative (NCCI) policy pronouncements for the GSP
  • With examples and case studies on coding for physicians relative to the Medicare GSP
  • Review the global surgical concept for APCs (Ambulatory Payment Classifications)
  • Assess the global surgical concept for MS-DRGs
  • Assess how private payers use the global surgical concept
  • Comprehend the many different ways that the Medicare program bundles or packages services relative to surgeries
  • Appreciate associated processes such as the use of the “-25” and “-59” modifiers

Session Highlights:

  • Global Surgical Package Concept
    • Blanket Payment for surgical procedures
    • Surgeon Orientation vs. Procedure (surgical) Orientation
    • Associated Anesthesia Package
    • Variations In GSPs
  • 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
    • NCCI Edit Policy Manual Directives
    • Anesthesia Package Concept
    • Case Studies and Examples

  • Related Surgical Packaging in Other Payment Systems
    • MS-DRGs – Pre-Admission Window
    • APCs – Surgical Packaging
    • Private Payer Use of GSPs
    • Compliance Concerns

  • Sources for Further Information

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

Who should attend: Physician Coding Personnel, Billing and Claims Transaction Personnel, Chargemaster Coordinators, Utilization Review Personnel, Financial Analysts, Compliance Personnel, Physicians, Internal Auditing Staff and Other Interested Personnel

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About Our Speaker

Duane Abbey Hospital Coding & Compliance Expert

 Duane C. Abbey, Ph.D. is a management consultant and president of Abbey & Abbey, Consultants, Inc., which specializes in healthcare consulting and related areas. Duane earned his graduate degrees at the University of Notre Dame and Iowa State University and has more than 20 years of experience as a consultant. He performs various types of financial analysis involving business structuring, organizational development, enrolment and other financially related concerns of organizations....   More Info
More Events By The Speaker

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