tci Outpatient Facility Coding Alert - 2016 Issue 4

Coding Update: Submit Your Claims With the Correct Place of Service

Get more specific with “on” and “off campus” codes to pinpoint the place of service. Recent years have shown an increasing trend in hospitals acquiring physician offices. As a result, providers and coders need to better understand whether they’re providing treatments as off-campus services or through provider-based hospital outpatient departments (HOPDs). Help is on the way: CMS is helping delineate “on campus” from “off campus” for provider-based hospital departments, thanks to two place of service (POS) code changes. In August 2015, CMS introduced new POS code 19 and revised the descriptor of POS code...

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