[Ohio] Medical and Surgical Services During the Postoperative Period

By June 15, 2025: Billing team must update claim editing logic and billing software to enforce global period rules for surgical procedures. (1) Ensure all related procedures billed within the global period of a major procedure are included in global services rather than billed separately. (2) Implement system validation to require appropriate modifiers (e.g., 24, 25, 59, 91, or other valid modifiers) when billing separate procedures with their own global surgery fee periods during the postoperative period of a prior procedure. (3) Train providers and billing staff on the 090-day postoperative period code list referenced in the policy. (4) Audit pending claims processed after June 15, 2025 to identify and correct claims missing required modifiers. (5) Contact CareSource Provider Services at 1-800-488-0134 (M-F, 8 a.m. to 6 p.m. ET) with questions. Failure to apply correct modifiers will result in claim denials and payment delays.