decisionhealth Newsletters, Part B News - 2012 Issue 10 (October)
CMS delays place of service policy until 2013, explains PC/TC provision
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Article Overview
This article explains a CMS delay of its place-of-service policy and summarizes the updated guidance being released through a transmittal. It is relevant to physicians, billers, coders, and practice managers who handle Medicare claims, especially where professional and technical components, hospital status, and teleradiology are involved. The piece focuses on the general policy update and the categories of claim situations CMS addressed.
Why This Topic Matters
Accurate place-of-service reporting affects Medicare claim processing and compliance. Practices need to know what changed, what was delayed, and which claim scenarios are specifically impacted so they can update workflows and systems appropriately.
What You Will Learn
- Why CMS delayed the place-of-service policy implementation timeline
- What broad claim categories the updated transmittal addresses
- How the policy relates to professional and technical component billing
- Which general service settings are implicated by the guidance
- How hospital status and teleradiology claims are discussed in the update
Who Should Read This
- Physicians
- Medical coders
- Medical billers
- Practice managers
- Revenue cycle staff
- Medicare claims staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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