Reimbursement : Have You Taken Note of the New POS Modifiers?

Why This Topic Matters

The changes discussed affect claim reporting, payment processing, and compliance for hospital-based outpatient services. Readers need to understand the scope of the update to prepare for revised Medicare billing workflows and documentation processes.

Article Sections

1. Anticipated payment changes for off-campus provider-based clinics

   Introduces the Medicare-related changes affecting off-campus provider-based clinic claims and payment.

2. New and revised POS modifiers in 2016

   Summarizes updates to place of service reporting and the related HCPCS modifier changes discussed in the article.

3. CMS data collection on provider-based clinics

   Describes CMS interest in collecting information about provider-based clinics and the broader policy context behind that effort.