tci Part B Insider - 2013 Issue 20

Reader Question: Nail Down Radiology Place of Service

Question: One of my coworkers heard that some Medicare rules have changed regarding whether face-to-face time can change a patient’s inpatient/outpatient status when a radiologist is involved. What is she talking about? Maine Subscriber Answer: Your coworker probably is referring to the situation when determining the proper place of service to list on the claim can be sometimes be tricky when you’re billing radiology’s interpretation and report. The good news is that new CMS guidance will set you straight. The latest Medicare rule states that the POS code you put on the claim needs to reflect...

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