In Coding
Jul 17th, 2018
Place of Service 22 and 23 Have the Same Payment Affect Question:A cardiologist is called to the emergency department (ED) to consult with a patient. The consult results in a decision for surgery. The surgery is performed on an outpatient basis: the patient is in the hospital less than 24 hours and is never formally ...
In CMS
Jun 27th, 2016
Question: Is it appropriate to report an office-based E/M (e.g., 99204 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity…) for a non-emergency visit by a specialist that takes place in the ...
In Billing
Jan 6th, 2016
Effective Jan. 1, 2016, the Centers for Medicare and Medicaid Services (CMS) is requiring the use of place of service (POS) code 19 Outpatient Hospital-Off campus to describe, “A portion of an off-campus hospital provider-based department which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not ...
In Billing
Aug 4th, 2015
by John Verhovshek, MA, CPC Place of Service Codes (POS) are two-digit codes reported on health care professional claims to indicate the setting in which a service was provided. Each billable line item should have a Place of Service Code listed to identify where the service was rendered. POS codes are listed in the front ...
In Coding
Jun 15th, 2015
by John Verhovshek, MA, CPC The Centers for Medicare and Medicaid Services (CMS) designates two sets of rules regarding radiology services, depending on where the services are provided. The ““Ordering of Diagnostic Tests” rule applies to testing facilities, including individual physicians, physician groups, laboratories, and Independent Diagnostic Testing Facilities (IDTF) that furnish diagno...