I am totally at a loss here. POS is documented in CPT but not alot of guidelines really. Are these possibly carrier requirements more than CPT requirements?
We are multispecialty. The pt has CCR services rendered in the ER by the ER doctor then is admitted by another physican (in our multispecialty group) to the hospital. What POS do I bill the CCR charges for? We are billing 23 because that's where services were rendered and they saw our ER provider. However, several carriers are denying these charges because pt was admitted. They want POS 21.... Thoughts? References?
We are multispecialty. The pt has CCR services rendered in the ER by the ER doctor then is admitted by another physican (in our multispecialty group) to the hospital. What POS do I bill the CCR charges for? We are billing 23 because that's where services were rendered and they saw our ER provider. However, several carriers are denying these charges because pt was admitted. They want POS 21.... Thoughts? References?