Place-of-service coding counts when billing for services
One of the key topics listed in the 2007 Work Plan just published by the Office of Inspector General (OIG) is billing with the correct place-of-service code.
Reimbursement is typically based on place of service, and Medicare and other third-party payers consider several factors (e.g., the overhead costs of the facility or office) when reimbursing a provider for professional services.
Billing with the correct place-of-service code is critical. If the visit code is not mapped to the correct place-of-service code (in other words, if the service actually took place in a different location), the provider's documentation will not match the billing and the claim could be deemed fraudulent/rejected.
Most Viewed
Most Emailed
- $6.4B Henry Ford, Beaumont Merger Failed on Cultural Hurdles
- How Chargemaster Data May Affect Hospital Revenue
- House Lawmakers Grill CMS Over Health Exchange Navigators
- Fortunately, Angelina Jolie Isn't On Medicare
- ED Physicians Key to Half of Hospital Admissions
- Don't Let Nurses Sink Your Bottom Line
- Primary Care Docs Average More Hospital Revenue Than Specialists
- Insurer's App Aims to Lower Healthcare Costs, Securely
- Uncompensated Care Faces a Double Hit in Some States
- 69% of Employers Plan to Offer Healthcare Coverage After 2014
