decisionhealth Newsletters, Answer Books - 2008 Issue 12 (December)
Answer_Book / CMS-1500_Instructions / Use_the_right_place_of_service_code_or_risk_overpayment
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Article Overview
This article addresses place-of-service coding on Medicare claims submitted on the CMS-1500. It summarizes an OIG-identified problem, explains the general risk of billing with the wrong facility or non-facility setting, and offers broad prevention guidance for billing staff and practices.
Why This Topic Matters
Accurate place-of-service reporting affects claim payment levels and helps prevent overpayment exposure in Medicare billing.
What You Will Learn
- Why place-of-service accuracy matters on Medicare claims
- How incorrect facility and non-facility billing can create payment discrepancies
- What general steps billing staff can take to reduce place-of-service errors
- Why hospitals and practices should coordinate on claim location reporting
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance staff
- Physician office administrators
Codes Discussed
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