Billing: You Might Report POS 22 More Often Starting in October

Why This Topic Matters

Correct place-of-service reporting affects claim compliance and reimbursement. The article highlights a CMS update that practices need to understand in order to avoid incorrect facility-versus-nonfacility billing and related claim submission errors.

Article Sections

1. CMS place-of-service update

   Overview of a CMS billing update affecting how physicians determine the reported service location. The section introduces the timing of the change and the general concept behind the new guidance.

2. Diagnostic imaging and interpretation location

   Discussion of how the guidance applies when a patient receives a service in one location and the physician performs a related interpretation elsewhere. The section references CMS clarification materials and a related claims-reporting example.

3. Exceptions for inpatient and hospital outpatient services

   Summary of special situations covered by the CMS guidance, including inpatient hospital services and hospital outpatient settings. The section explains that certain facility contexts are treated differently from office-based services.

4. Services performed in ASCs

   Focus on ambulatory surgical center settings and how they are addressed in the revised instructions. The section also notes the relevance of separately maintained office space at the same location.

5. Related billing compliance considerations

   General reminder about accurate reporting and why CMS is concerned with place-of-service selection. The section also mentions an additional modifier requirement when reporting split professional and technical services.