I am trying to find out the Part A facility reimbursement methodology for a provider based hospital owned outpatient clinic that is more than 250 yards from this hospital and started billing for services after November 2, 2015.
My understanding is that starting in 2017, the above described facility cannot bill addendum part B for Part A. The rules say that it would use either the PFS or ASC, however I am unclear on how this will be reimbursed.
Under this situation, which modifiers should be used? "PO"?
My understanding is that starting in 2017, the above described facility cannot bill addendum part B for Part A. The rules say that it would use either the PFS or ASC, however I am unclear on how this will be reimbursed.
Under this situation, which modifiers should be used? "PO"?