Regulatory Update: Place of Service Changes Effective October 1, 2012
CMS published the MLN Matters Number: MM7631 to educate providers on the Revised and Clarified Place of Service (POS) Coding Instructions which has an effective date of October 1, 2012. The passages below are excerpts from the MLN article.
“This article is based on Change Request (CR) 7631. It revises and clarifies national policy for POS code assignment. Instructions are provided in CR7631 regarding the assignment of POS for all services paid under the MPFS and for certain services provided by independent laboratories. In addition to establishing a national policy for the correct assignment of POS codes, instructions are provided for the interpretation or Professional Component (PC) and the Technical Component (TC) of diagnostic tests. Please make sure your billing staff is aware of these changes.”
“CR7631 establishes that for all services – with two (2) exceptions — paid under the MPFS, that the POS code to be used by the physician and other supplier will be assigned as the same setting in which the beneficiary received the face-to-face service.
Because a face-to-face encounter with a physician/practitioner is required for nearly all services paid under the MPFS and anesthesia services, this rule will apply to the overwhelming majority of MPFS services.”
Seacoast urges Clients to review this regulatory change to determine whether any system changes to track place of service by patient for submission to maintain compliance with the new regulation will be necessary. Please contact your Support Representative to receive a quote for SurroundLabAR customizations if needed.
Please review the following link to review the full article disclosing the Place of Service requirements:
Provided by Jess Hodges Project Manager, SurroundLab AR Systems 603-431-4114 ext. 6238