• Maintain updated global period cheat sheets from the insurance and educate billing staff about the references that is taken for the global periods, including their duration if cases are related to minor or major services.
• Always check if Modifiers are attached in claim form generally Modifiers like 24, 57,79 are used to mitigate this denial, so coding team should be well versed when to use these Modifiers.
•  Always check history to get the information which services were provided to the patient and calculate the global period of the services.
• Maintain Records that proves that services given were distinct and needed to be reimbursed if asked by the insurance.
• Many a times insurer choose the terms that Different global rules by insurer
• Submit a targeted appeal highlighting which clearly indicate that distinct services were given to patient and is different from the surgical package given during global period.

Modifiers

Modifier 79: Modifier 79 is reported for an unrelated procedure performed in the global period of the original procedure.

Modifier 78: Modifier 78 is reported for an unplanned return to the operating room when the procedure performed during the global period is related to the original procedure

Modifier 24 is used to indicate an unrelated evaluation and management (E/M) service provided by the same physician during the postoperative global period.

Modifier 57 is a modifier that is appended to an E/M service to indicate that this was the visit at which the physician decided to perform surgery. It is only used on procedures with a 90-day global period.

• Minor procedures: Typically have a global period of 0 to 10 days.
• Major procedures: The global period is extended to one day prior to and 90 days after the procedure.

Read more: Modifier