In its proposed rule for the CY2017 Medicare Physician Fee Schedule (MPFS), the Centers for Medicare & Medicaid Services (CMS) included a proposal that created much concern and generated a good deal of feedback to CMS. I am referring to the CMS proposal on how the agency intended to operationalize a claims-based approach to a MACRA requirement to collect data on the number and level of services performed within an assigned global period. This article will provide a bit of background and also describe what some ASA members will be required to do as part of this new data collection requirement.
The valuation of many services and procedures paid under the MPFS includes the work and other resources provided on the day of the encounter and for a period of days afterward. Codes with a 0-day global period include the procedure itself and any related pre- or post-procedure work the...
