Pulmonology Coding Alert

Reader Question:

Do Not Miss POS for Outside Interpretations

Question: If our physician is performing interpretations for studies done at various hospitals from our office or any other location like his home, what POS needs to be used?Georgia SubscriberAnswer: Reporting the correct POS (Place of service) code is important since reimbursements can vary depending on the setting where it was performed. For example, the payment made for some services rendered in an outpatient hospital facility can be lesser than when they are provided in a private office setting. This typically occurs when the facility receives separate reimbursement for the rendered service. As per transmittals 1823 and 1873, CMS has come out with new guidelines that determine the POS for various services rendered by physicians who do not share a practice with the testing supplier. These guidelines came into effect from Jan 4, 2010. These guidelines have been formulated to enable proper coding of POS for various contracted services which [...]
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