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Global fee

1. All-inclusive payment for hospital and physician services (e.g., a surgery case with all preoperative and postoperative medical care in one fee). 2. Combined technical (equipment) and professional (physician) charges or payment.

Global insurance programme

Worldwide programme enabling a multi-national to establish the same level of cover globally. It could consist of a master policy issued in the home country that results in a totally non-admitted insurance programme, i.e. no local policies. At the other extreme it is a totally admitted programme with all local entities being issued with policies and all premiums and losses being dealt with locally. Normally the programme entails: (a) a master policy arranged in the home country giving uniform cover for the whole group; and (b) local admitted policies reflecting local needs. The master policy tops up local policies to gain consistency across the group. The master policy is subject to a difference in conditions clause and a different in limits clause.

Global period

Specific period of time during which all medical services pertaining to a condition or diagnosis are considered included in the payment for the initial surgery or treatment and may not be billed separately. Complications related to the procedure are considered outside of the global period and not included in payment for the initial surgery or treatment. Medicare global surgical policy (GSP) is from 0 to 90 days postoperatively.

Global pricing

Reimbursement method in which both the hospital and physician fees are packaged into one price (global fee) for a specific medical procedure such as coronary artery bypass graft (CABG) surgery. In addition, the global fee often includes diagnostic procedures, postsurgical recovery, rehabilitation, and follow-up office visits within a certain time period. Also called package pricing and bundling .

Global return

The return completed by Lloyd’s for FSA regulatory purposes, covering the activities of all Lloyd’s syndicates. When the returns are consolidated Lloyd’s publish the Lloyd’s market underwriting results.

Global service

Medical service that has both a professional and technical component such as in some radiological procedures. CPT modifier -26 indicates the professional component and modifier -TC indicates the technical component. When billing if no modifier is present, it is assumed the physician provided the global service. Also see professional component and technical component .

global surgery policy (GSP)

Medicare policy relating to surgical procedures in which preoperative and postoperative visits (24 hour prior [major] and day of [minor]), usual intraoperative services, and complications not requiring an additional trip to the operating room are included in one fee. See also surgical package .