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Cardiology Coding Alert

Reader Questions:

Keep Tabs on DOS Policy Change

Published on Wed Jan 27, 2010

Question: Did CMS's date of service rules go into effect on Jan. 4 as planned? Tennessee Subscriber Answer: No. CMS changed the implementation date from Jan. 4 to July 1. Where to look: CMS replaced Transmittal 1823 with Transmittal 1873 (www.cms.hhs.gov/transmittals/downloads/R1873CP.pdf). In short, Transmittal 1823 provided instructions on proper place of service (POS) and date of service (DOS) reporting. The only difference between the two transmittals is an implementation date change for the DOS instructions, changing the Jan. 4 date to July 1. The POS requirements are effective Jan. 4 in both transmittals. DOS rule: Although practices weren't too surprised to see instructions to choose the POS based on where the clinician performs the service, the DOS instruction has caused a bit more confusion. The transmittal indicates that you should choose the actual interpretation date as the DOS for diagnostic test interpretation. Practices performing global services have been asking [...]
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