CMS to Transition 10-, 90-day Globals to 0-day

 

In the CY 2015 Medicare Physician Fee Schedule (PFS) Final Rule published recently in the Federal Register, CMS finalized its proposal to eliminate 10- and 90-day global periods and transition to 0-day globals, with the elimination of the 10-day global period implementation to begin in 2017.

The global surgical package, also called global surgery, includes all necessary services normally furnished by a surgeon before, during, and after a surgical session.

Medicare and non-Medicare payments for surgical procedures are based on those components provided by the surgeon or by members of the same specialty from the same group.

While CMS acknowledges the importance of bundled payments as a mechanism to incentivize high-quality, efficient care and the need to have accurate values for physician services used as the building blocks for bundled payments, CMS is introducing these changes to address concerns about the accurate valuing of these global surgical services relative to other physician services.

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