decisionhealth Newsletters, Part B News - 2012 Issue 5 (May)
Ask a Part B News expert: New POS rule
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Article Overview
This article answers a reader question about a Medicare place-of-service policy change and its relationship to date-of-service reporting for professional components of diagnostic tests. It is aimed at billing and coding professionals who need to understand the scope of the CMS clarification, the affected service context, and the type of Medicare guidance being discussed.
Why This Topic Matters
Changes to Medicare billing guidance can affect how claims are reported and interpreted by practices that bill diagnostic test professional services. Understanding whether a policy update changes related date-of-service handling helps billing staff stay aligned with current Medicare rules.
Article Sections
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Q: Does CMS’ new place-of-service (POS) rule affect the date-of-service (DOS) rule as well?
Introduces the reader’s question about a Medicare policy update and how it relates to billing for diagnostic test services. The section frames the issue in the context of contractor transitions and reporting practices.
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A:
Provides the expert response discussing the scope of the policy clarification and the general reporting context for professional component services. It also points readers to a CMS transmittal for further information.
What You Will Learn
- How a Medicare place-of-service clarification is discussed in relation to date-of-service reporting
- The general billing context for professional components of diagnostic tests
- Where to look for additional CMS guidance on the policy update
- Which organizations and contractor settings are referenced in the discussion
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance staff
- Medicare claims personnel
Modifiers Discussed
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