Medicare Compliance & Reimbursement

Billing:

Brush Up On Your POS 22 Rules To Keep Your Practice In The Clear

Starting in October you need to focus on where the face-to-face service was performed.If you're in the dark about a new CMS place of service (POS) rule you could be attracting unwanted scrutiny for your face-to-face physician services, come October.The skinny: The new rule is that the POS code you report for your physician should reflect the "setting in which the beneficiary received the face-to-face service," according to Transmittal 2435. CMS has created exceptions to the rule, however, so be sure to read the rule in full and pay attention to each element.Important dates: The effective date is October 1, 2012 -- this is a delay from the previous implementation date of April 1.Under CMS's announced rule, providers performing the PC [professional component] of interpretation of tests must use the POS where the face-to-face service -- test -- was performed, i.e. outpatient facility, ASC [ambulatory surgical center], etc.In case you have any question [...]
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