HCPro, JustCoding Outpatient - 2015 Issue 38 (October)
Q&A: Hardcoding modifier -PO
October 14th, 2015
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Article Overview
This article explains the general purpose and rollout timing of CMS modifier -PO for hospital outpatient services. It is aimed at coding and revenue cycle staff who need a high-level understanding of where the modifier applies, which facility types are excluded, and which federal regulations are relevant for further review. The piece is framed as a practical Q&A rather than a detailed coding manual.
Why This Topic Matters
Hospitals and outpatient departments need to understand when modifier -PO is relevant so their charge capture and reporting processes align with CMS expectations. The article helps readers identify whether their organization should review outpatient department workflows and facility location classifications for this reporting requirement.
What You Will Learn
- The general purpose of modifier -PO in hospital outpatient reporting
- The timing of modifier -PO implementation and reporting expectations
- Which broad facility location categories are discussed in relation to the modifier
- Which federal regulatory references are mentioned for additional context
Who Should Read This
- Hospital coders
- Revenue integrity staff
- Billing and charge capture teams
- Outpatient department administrators
- Compliance staff
Codes Discussed
Modifiers Discussed
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