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Wiki Switching between POS 11 and POS 20

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amullen513

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When I worked in Idaho, the physician's office could legally bill for both POS 11 and POS 20. I am now working in Utah and have not been able to find out if this is a legal practice in Utah, as well. I have contacted the Utah Division of Health Facility Licensing and they could not give me an answer, so I am reaching out other Utah billers for the answer. Thank you!!!
 
Is it a standalone office (11)? Is it on site at the Hospital (20). Is it a hospital Off Campus (new POS 19). I've never heard of legally being able to pick and choose.
 
Sorry I keep thinking 20 as Outpatient Hospital and not Urgent care. I don't know anything about that part. just that as a payer we don't see place of service 20 very often and under Medicare they both pay off the non facility rates.
 
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