Inpatient Facility Coding & Compliance Alert

Reader Question:

Know Whether You Need to Report POA Codes

Question: Do all the hospitals have to comply with the HAC-POA reporting to get reimbursed properly and avoid denials?

Utah Subscriber

Answer: The Present on Admission (POA) codes only need to be reported by IPPS hospitals. Facilities such as these are exempt from the provision:

  • Critical Access Hospitals
  • Long Term Care Hospitals
  • Cancer Hospitals
  • Inpatient Rehabilitation Facilities
  • Inpatient Psychiatric Facilities
  • Children Inpatient Facilities.

Note that there may be state level requirements for reporting POA. While POA reporting is really a Medicare requirement for IPPS, other third-party payers may also require it regardless of your type of facility.