Wiki in patient/outpatient/office

[Jamie Claypool]

Hello anyone who can confirm or deny this thinking:
We represent a physician network and we have a physician who has an office in the hospital ( physician is employed through the physician network owned by the hospital). The hospital owns the space he is in but it is not part of the hospital campus. This physician is bringing patients from an inpatient setting to his office for treatment and testing. The equipment is in the physician office and he is sometimes giving treatment and testing ( his is a radiation oncologist). The hospital owns the equipment. He is using place of service 11 and we think this is not correct. The patient's in patient status has not changed and we think that by changing the place of service to "11" that there could be an overcharge situation because of the site of service differential. Should the place of service remain in-patient? Any advice or in put anyone can give me is truly appreciated.
Jamie

 

[mitchellde]

You use the POS of where the patient is registered. If the patient is a registered inpatient the regardless of where the physician sees the patient he will use the inpatient POS. A facility owned physician office always uses POS of outpatient, 22 and never 11. The facility should be submitting an outpatient claim for the facility portion of outpatient office visits.