decisionhealth Newsletters, Coder Pink Sheets - 2012 Issue 12 (December)
For outpatient E/Ms in the hospital, use POS 22 for accurate fees
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Article Overview
This short FAQ-style article addresses outpatient evaluation and management billing in a hospital environment, focusing on how place-of-service reporting affects Medicare payment. It is relevant for medical billers, coders, and practice administrators who need to understand the general impact of hospital outpatient location reporting on professional fees and reduced overhead circumstances.
Why This Topic Matters
Correct place-of-service reporting can affect reimbursement for outpatient E/M services performed in a hospital setting. The article helps readers recognize why hospital outpatient billing scenarios are handled differently from standard office settings.
What You Will Learn
- How hospital outpatient location reporting relates to office/outpatient E/M reimbursement
- Why the setting of service can change professional fees
- What general billing question arises when a practice uses space in another hospital facility
- How Medicare payment considerations are discussed for outpatient E/M services in a hospital environment
Who Should Read This
- Medical coders
- Medical billers
- Practice managers
- Revenue cycle staff
- Physician office administrators
Codes Discussed
Code Ranges Discussed
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