ED Coding & Reimbursement Alert - 2015 Issue 18
Place Of Service Coding: MACs to Start Eyeing Your POS Line Items
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Article Overview
This article reviews Medicare place-of-service coding issues and recent audit findings showing how location-reporting mistakes can affect physician claims. It is relevant to coders, billers, compliance staff, and practice managers who handle claim accuracy, payment integrity, and audit readiness. The discussion covers general error patterns, the role of Medicare contractors, and recommended operational safeguards without providing detailed coding instructions.
Why This Topic Matters
Place-of-service reporting can materially affect claim payment and audit exposure. Understanding the common risk areas helps practices reduce overpayments, strengthen internal controls, and respond more effectively to Medicare reviews.
What You Will Learn
- How Medicare place-of-service coding is being scrutinized in audit activity
- Why location reporting errors can create payment discrepancies
- Common operational causes of place-of-service claim mistakes
- How practices can reduce risk from billing and data-entry errors
- Why contractors and CMS may increase review of higher-risk claims
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Practice managers
- Physician billing staff
Codes Discussed
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