tci Medicare Compliance & Reimbursement - 2015 Issue 24

Reimbursement : Have You Taken Note of the New POS Modifiers?

Anticipate imminent changes in payment for off-campus provider-based clinics. The Centers for Medicare & Medicaid Services (CMS) implemented a change request (CR) via Transmittal 3315 on Aug. 6, 2015, to revise some place of service (POS) codes. This means that from Jan.1, 2016, both professional and facility component claims for off campus hospitalbased or provider-based clinics will change. “This area is in a state of dynamic flux,” explains Duane C. Abbey, PhD, president of Abbey and Abbey Consultants Inc., in Ames, Iowa. “Congress has passed H.R. 1314, the Bipartisan Budget Act of 2015. Section...

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