AHA Coding Clinic® for HCPCS - 2015 Quarter 2; For Your Information
Reporting of the “PO” HCPCS modifier
The HCPCS modifier PO, Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments, is a new modifier created by the Centers for Medicare & Medicaid Services (CMS). However, this modifier will not be required for reporting until January 1, 2016. Until that time, the reporting of modifier PO is optional for the calendar year (CY) 2015. Modifier PO was created to capture the frequency and types of services performed in an off-campus provider based outpatient department and would not be reported for remote locations of a hospital, satellite facilities of a hospital or for services furnished in an...
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Article Overview
This article explains the introduction of a new HCPCS modifier by the Centers for Medicare & Medicaid Services and summarizes the reporting timeline, scope of services, and settings addressed in the guidance. It is relevant for hospital outpatient coding, billing, and compliance teams that need to understand the policy context and the broad reporting considerations for off-campus provider-based departments.
Why This Topic Matters
It helps coding and billing professionals recognize a new reporting requirement, understand when it applies, and identify the care settings affected by the CMS policy change.
What You Will Learn
- The CMS policy context for a new HCPCS modifier
- The reporting timeline and transition period described in the guidance
- The general outpatient hospital settings addressed by the article
- Which broad facility types are discussed in relation to the modifier
Who Should Read This
- Hospital outpatient coders
- Medical billing staff
- Compliance teams
- Revenue cycle professionals
Modifiers Discussed
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