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Practice Management Alert

Radiology Billing:

Watch Your Claims for Proper Place of Service Assignments

Published on Tue Jun 19, 2012

New transmittals mean you'll have to focus on where the beneficiary was at time of service.When you bill for the interpretation and report a provider performs on a radiology service, determining the proper place of service to list on the claim can be sometimes be tricky. The good news is that new CMS guidance will set you straight. The latest rule states that the POS code you put on the claim needs to reflect the "setting in which the beneficiary received the face-to-face service," according to MLN Matters MM7631. CMS has created exceptions to the rule, however, so be sure to read the rule in full and pay attention to each element. Here's what you need to know to ensure your claims won't start coming back stamped "Denied."You Have Until October to Learn the RulesChanges already: The original Transmittal (2407) said that the new rule would go into effect on [...]
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