Results 1 to 3 of 3

POS Question

  1. #1
    Ellenville, New York
    Default POS Question
    Medical Coding Books
    Our urgent care centers use 20 as the POS code for most claims. One carrier changes it to 11, as they do not recognize 20 as a "covered" place of service for thier beneficiaries.

    Some of these beneficiaries, even though they are not supposed to do this, use one of the care centers as their PCP, and the doctors may do work that is typically done in the office. One of our administrators is asking if they can use 11 as the POS for these patients since the service is an "office" service and the payer is requiring it. I am certainly NOT comfortable with giving that advice, and I was wondering if anyone else has had a similar situation.

    Thanks in advance!

  2. #2
    I have a question. Do you allow patients to make appointments or do you work on a first come first serve basis? The reason I ask is that if you read the definition of POS 20 it specifically says "unscheduled" patients. I would think, therefore, that if you allow patients to schedule appointments then you can use POS 11. If not, then you must use POS 20.
    Walker Bachman, CPC, CPPM

  3. #3
    Ellenville, New York
    No, there are no "scheduled" patients as these are urgent care centers. But just like how some patients without a PCP use the ER like one, some patients use the care center like a PCP. Thank you for your input!

Similar Threads

  1. POS Question
    By harts2976 in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 03-25-2015, 02:39 PM
  2. POS Question
    By Aly13 in forum Billing/Reimbursement
    Replies: 6
    Last Post: 01-22-2013, 12:57 PM
  3. POS Question
    By dsnider76 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 10-11-2011, 08:46 AM
  4. POS Question
    By MAult142 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 06-03-2010, 08:54 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.