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Pathology/Lab Coding Alert

Steer Clear of These POS Pitfalls

Published on Tue Mar 24, 2009

Make sure you-re getting the right payment for the right -place.- When the Office of Inspector General (OIG) estimated a $2.4 million overpayment in two years due to place-ofservice (POS) coding errors, the agency took notice -- and so should you. To make sure you-re not getting paid too much -- or too little -- for your services, you must list the proper POS code on your CMS-1500 claim forms (or electronic equivalent). Master POS -- Here's Why -POS can change your reimbursement,- says Pamela Biffle, CPC, CCS-P, ACS-DE, a PMCC instructor and director of operations/senior instructor for CRN Institute in Salt Lake City. Medicare pays a different rate for some services based on where the physician performs the procedure -- at a -facility,- such as a hospital or -non-facility,- such as a physician office. The non-facility rate is often higher due to greater practice expense relative value units (RVUs) -- that is, higher [...]
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