Outpatient POS on established E/M claims creeps up

Article Overview

This article examines a trend in Medicare claims where established patient evaluation and management services were billed more often with an outpatient hospital place of service over time. It also discusses why the shift matters to CMS, the broader context of hospital acquisition of practices, and the role of place-of-service coding updates and oversight. The article is relevant to coders, billing staff, compliance teams, and revenue cycle professionals who monitor outpatient versus office-based claim patterns.