Reader Question:
Read Up on New POS Rule
Published on Thu Nov 08, 2012
Question: I've been expecting to see more information about CMS's place of service (POS) rule with an October 1 implementation date. Have there been any updates?North Carolina SubscriberAnswer: CMS has delayed implementation for the POS rule you reference. The new effective and implementation date is April 1, 2013. CMS also added some revisions and clarifications to the rule regarding global diagnostic services, determining payment locality, and inpatient and outpatient services.For instance: To report global 71010 (Radiologic examination, chest; single view, frontal), meaning without modifier 26 (Professional component) or TC (Technical component), the claim should reflect the ZIP code of the testing facility that performed the X-ray. And you may report the global code only when the same physician/supplier performs both the TC and PC, and the TC and PC are furnished in the same fee schedule locality.There's an MLN Matters article on the topic at
www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM7631.pdf.