4 tips to correctly code place-of-service and avoid new wave of OIG, RAC audits

Why This Topic Matters

Place-of-service coding can affect how Medicare pays a claim and whether a practice is exposed to audit findings or overpayment recovery. Understanding the broader audit focus and common operational pitfalls helps billing teams evaluate claim accuracy and documentation workflows.

Article Sections

1. Coding

   Introduces the article’s focus on place-of-service coding and the increased attention it is receiving from CMS contractors and federal auditors.

2. Why POS matters

   Summarizes audit activity, payment impact, and the general reimbursement differences between non-facility and facility settings. It also introduces example findings and the role of contractor reviews.

3. What you can do to prevent errors

   Reviews common operational reasons for POS mistakes and broad practice-level measures for reducing claim submission errors. It references staff education, software review, and CMS guidance sources.