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Pathology/Lab Coding Alert

Place of Service:

Stay the Course on POS Reporting -- For Now

Published on Mon Nov 05, 2012

Pathology/lab instruction to follow. First it was April 1, then Oct. 1, 2012 -- now you have until April 1, 2013 to change the way you apply place of service (POS) definitions for Medicare reporting. That's according to CMS transmittal 2563 (dated Oct. 11), which replaces CMS transmittal 2561 (dated Sept. 28), which replaces CMS transmittal 2435 (dated March 29). Watch for New Lab/Pathology Details The CMS national rule outlined in transmittal 2435 uses "face to face service" location as the primary factor in choosing your POS code. Under the rule, "providers performing the PC [professional component] of interpretation of tests must use the POS where the face-to-face service ... was performed, [such as] outpatient facility, ASC [ambulatory surgical center], etc.," says Catherine Brink, BS, CMM, CPC, CMSCS, president of NJ-based Healthcare Resource Management. But because pathologists rarely perform "face to face" service and often do tissue or cytology exams at [...]
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