I have a claim that was originally paid by United Healthcare Medicaid. The services were performed in an office setting and the POS reported on the claim was 11. That money was then recouped. We enquired as to why it was recouped and were told by a rep from UHC that according to CMS, when a patient is a registered inpatient the physician services should be coded with a facility place of service code and the practitioner should be paid the facility rate irrespective of the setting where the patient actually receives the care. We were told the resubmit the claim with the correct facility place of service. This does not sound correct to me. We called Medicare to verify if this policy was correct but were told they couldn't help us as this was not a Medicare claim. Is there anyone who has ever encountered this and how did you solve it? Or where can we find this policy.