tci General Surgery Coding Alert - 2016 Issue 7

Place of Service: Face POS 19 Game-Changer for Outpatient Billing

Distinguish “off-campus” clinics. Since Jan. 1, your practice should have been using one new and one updated place-of-service (POS) code for outpatient services. Now you need to make sure you’re up to speed on why and how the change will impact your general surgery pay. Crucial: CMS made the POS code change to avoid overpaying for services provided at off-campus hospital-based or provider-based clinics. Let us walk you through CMS’s logic for the change, and more importantly, how you should use the updated POS code set when billing Medicare for your services. The official new and...

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