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CodeMap Compliance Briefing: 04/01/05


 

Editor's Welcome:

This week we will discuss the Place of Service (POS) codes used on Medicare claims. While these codes usually are the same for all claims from a given provider, pathologists, radiologists, and other physicians who perform services in their offices as well as other facilities must be careful to use the correct POS codes to avoid overpayments and potential false claims liability. As always, please email us your questions, concerns, and/or comments regarding this or any other coding, reimbursement, or compliance issue.

Charles Root. Ph.D.

Place of Service (POS) Codes

The Medicare physician fee schedule includes two payment amounts depending on whether a service is performed in a facility setting or a non-facility setting. Typically, payments to physicians are higher when the service is performed in a non-facility setting such as a physician's office. The higher payment is designed to compensate for the additional costs incurred to pr....

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