My Oncologist/Gynocologist is insisting that he should be reimbursed for all of his E & M services even when he brings the patient back two weeks post op for discussion and counseling of treatment. I have explained that if the visit is unrelated to the surgery I can bill with a -24 modifer. I have contacted Medicare, BCBS and several other carriers and they have advised that a 90 day global means that all E & M services that are related to the cancer surgery (ie hysterectomy) are included in the global. Any suggestions on what I might be overlooking?
90 day global period E & M services
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