Place of Service / Place of service differential

Article Overview

This article covers Medicare’s place-of-service framework as it relates to physician fee schedule practice expense payment, including the facility and non-facility distinction and how it applies in hospital, skilled nursing facility, and ambulatory surgery center settings. It is relevant for coders, billers, and revenue cycle staff who need a broad understanding of how service setting affects payment methodology and site-of-service reporting. The discussion also touches on ASC-related payment treatment and cites CMS fee schedule policy context.