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Medicare Compliance & Reimbursement

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Brush Up On Your POS 22 Rules To Keep Your Practice In The Clear

Published on Thu Jun 28, 2012

Starting in October you need to focus on where the face-to-face service was performed.If you're in the dark about a new CMS place of service (POS) rule you could be attracting unwanted scrutiny for your face-to-face physician services, come October.The skinny: The new rule is that the POS code you report for your physician should reflect the "setting in which the beneficiary received the face-to-face service," according to Transmittal 2435. CMS has created exceptions to the rule, however, so be sure to read the rule in full and pay attention to each element.Important dates: The effective date is October 1, 2012 -- this is a delay from the previous implementation date of April 1.Under CMS's announced rule, providers performing the PC [professional component] of interpretation of tests must use the POS where the face-to-face service -- test -- was performed, i.e. outpatient facility, ASC [ambulatory surgical center], etc.In case you have any question [...]
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