place of service

  1. A

    Wiki Difference between Independent Clinic (POS 49) vs Office place of service (POS 11)

    Can someone help me in explaining what is the difference between independent clinic (POS 49) and Office ( POS 11) as well as the scope of practice and types of services offered in both?
  2. M

    Wiki Remote Physician (working from home) POS Code Clarification

    If a therapist (lcsw, lmf, masters level) works from THEIR home seeing patients through telehealth services, what place of service code do you use? The therapist doesn’t’t work from “office” but they work at HOME REGULARLY can I still use POS 11 or something else?
  3. rthomas@impcna.com

    Wiki Opening Second Location

    Our practice will be opening a second location in late 2022. This location will have it's own TIN. Does anyone have an advise on how to start preparing now?
  4. P

    Wiki CPT 59866 Help

    Does anyone have any insight on whether this CPT 59866 can be billed with place of service 11? We've been receiving denials from both Aetna and BCBS stating Invalid POS. I know this code is not an inpatient only code..
  5. M

    Wiki Place of Service questions

    Hello! I am a somewhat new biller and got my experience solely from the office I currently work at and through AAPC billing course. I work for an Outpatient Drug and Alcohol treatment center, we also provide co-curring mental health/substance use services. The POS, Place of Service is always a...
  6. R

    Wiki Multiple POS on a single claim?

    Good Evening, I have recently took over the billing department at a pediatric facility and I am fairly new to pediatrics so I am seeking some advice. Our clinic is listed as an RHC clinic and the Coder has told me that for Florida MMA UHC, Humana, Clear Health, and Florida Medicaid that we...
  7. A

    Wiki OMT and place of service

    Are there any restrictions on where OMT can be performed? Can this be done at an acute care inpatient setting and/or ER?
  8. K

    Wiki Group Practice Provider Seeing Patients in Different Place of Service.

    We are a group practice that has a few Dr.'s, NP's and PA's in an outpatient mental health professional office setting. If one of our PA's or NP's sees patients in a nursing home outside of the office setting for medication management (E/M) what CPT codes would be used and would there be...
  9. A

    Wiki Independent Laboratory Billing Place of service code

    Hello! We are an independent lab running lcms(80307) and definitive(G0480-G0483) billing for urine collected at the facility the patient is receiving care from and sent to us. United Healthcare (UHC) just started denying our claims for box 24B and box 32. We have always billed with POS 81 in box...
  10. H

    Wiki Place of Service - For Independent Labs

    Dear All, Would you happen to know what the place of service should be for the services done at an independent lab? The Medicare claims processing manual states it should be the location that draws the testing specimen. However from my personal experience I've seen a lot of laboratories bill...
  11. C

    Wiki sleep studies

    Does anyone have any good references or know of anything that would help to ensure I am billing sleep studies correctly? In addition to the general coding, perhaps the dates of service to be used, the place of service, etc? One of the main questions we have is if the technical component is...
  12. C

    Wiki Provider and place of service for Lab

    I am new to Lab and am trying to resolve some inquiries that I am baffled on. We are going to have a draw station in a separate suite location-not in but near our Medical group office, the specimens will be sent to our hospital lab to perform the tests, and then they are requesting that the...
  13. P

    Wiki 92586 Newborn Hearing Screening POS

    We are a group audiologists who provide newborn hearing screenings in several hospitals before the infant is discharged. Some payers include our services in the DRG even though we are not employed by the facility nor do we use any of their staff, equipment or supplies. Do we have to use POS 21...
  14. L

    Wiki Sleep Study POS

    My pulmonologist is now reading sleep studies done at an independent sleep study lab. I think the place of service is going to be 49 for our billing of the professional component. Can anyone confirm? Thanks, Lorrie
  15. C

    Wiki Revenue Code Selection

    Our organization provides adult substance abuse and mental health services. We provide residential, PHP and IOP services. We would like to bill for the professional psychotherapy sessions that our pyschiatrist and internal medicine visits that our internal medicine physician providers...
  16. P

    Wiki Place of Service

    Hello, I've been doing research on the POS for facility I currently work for (Free-standing substance abuse) and I wanted to double check to see if it was 57. After working for a company that billed for mental health and substance abuse facilities, we used POS 22, I'm wondering which is wrong...
  17. M

    Wiki Pessary Supply Billing

    Does anyone know how Humana Medicare wants the Pessary (A4562) billed? We have always billed place of service 11, but recently are getting denials as invalid place of service. I asked the Humana representative where to find the policy and her only answer was "we follow Medicare's guidelines...
    • melheffley
    • Thread
    • medicare pessary place of service
    • Replies: 2
    • Forum: Urology
  18. D

    Wiki CPT 24071 and place of service inconsistent

    Why can't CPT 24071 be billed with place of service (11)? If not, is there another code that can replace it? I am getting more denials that the place of service is inconstant with the code 24071. It's an Excision of right forearm lipoma.
  19. R

    Wiki POS 19, new for 2016

    Does anyone have insight on when to use place of service 19? The CMS description states "A portion of an off-campus hospital provider based department...". We are private physician practice and are trying to clarify if POS 19 is for hospital employed physicians only. Any input is greatly...
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