DecisionHealth, DecisionHealth - 2009 Issue 8 (August)

Avoid 5 costly mistakes leading to place-of-service coding errors

Licenses and a facility cost report will show which buildings and offices are owned and operated by a hospital, ambulatory surgery center (ASC), or outpatient facility. Checking these sources will help you determine the correct place of service when your billing department is ever unsure where a service actually took place. The HHS Office of Inspector General (OIG) found several cases where the location of a physician's office was incorrectly reported on claims, and now estimates physician practices have been overpaid $20 million over two years, according to a recent report. Expect the government to want that money back. 

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