One of the neurosurgeons I bill for performed a procedure in an ambulance. I am having issues with the billing…..Per Medicare guidelines you would use the 41 place of service. When we bill this, it is asking ambulance specific questions. We however, are not billing for the ambulance services just the physicians professional fee. Has anyone ran into this before? How do you bill for a physician performing procedures in an ambulance place of service?
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Tag Archives: Place
Place of service
Our cardiologists are now asked to read EKGs done in the ER.
They read it remotely in the CardioPulmonary Dept.
Should the place of service be ER? or Outpatient (Cardiopulmonary Dept where it’s read?)
Thanks.
Place of service 33
I am getting conflicting answers of billing for place of service 33, what i read is that block 32 on cms 1500 can remain blank for place of service 33 (custodial care/personal care home. I am searching for mln matters articles/etc to confirm as i have also read that block 32 needs to be completed with NPI for services provided in place of service other than home or office-but personal care home 33 doesn’t have NPI as they are not a health care provider. any input would be appreciated.
place of service 21 defintion per medicare
can someone clarify billing pos 21 per medicare – is it based on how long the patient is in the hospital over 24 hours? or something different- I always knew if a patient is admitted, it would be considered inpatient (21) but I am hearing the medicare says inpatient has to be 2 midnights that he patient is in the hospital.
Please advise………..thanks!
what place of service code to use for in-house credentialed sleep lab?
Te practice has a credentialed sleep lab in office, and they are performing monitored polysomnography. They are getting many denials for POS when 95810 & 95811 are submitted with POS 11.
The lab is not affiliated with a hospital, but it is under the direction and control of a physician. Is this a case of the POS being wrong, or should the AR department prepare standard documentation and be ready to file lots of appeals?
Independent Laboratory Billing Place of service code
Hello! We are an independent lab running lcms(80307) and definitive(G0480-G0483) billing for urine collected at the facility the patient is receiving care from and sent to us. United Healthcare (UHC) just started denying our claims for box 24B and box 32. We have always billed with POS 81 in box 24B but they are now denying saying "The place of service for an independent laboratory must show the place where the sample was taken; based on the information provided on the HCFA 1500 box 24B and box 32 and the medical records submitted, we are unable to verify where the sample was obtained."
This is only happening with UHC. All the other commercial carriers have no issue paying our claims after the review of medical records.
Is anyone familiar with this change? Are they correct? and will other payers be moving to this rule?
This is only happening with UHC. All the other commercial carriers have no issue paying our claims after the review of medical records.
Is anyone familiar with this change? Are they correct? and will other payers be moving to this rule?
Any guidance is very much appreciated.
Place of Service 22 Triggers Inpatient Payment
Place of Service 22 and 23 Have the Same Payment Affect Question:A cardiologist is called to the emergency department (ED) to consult with a patient. The consult results in a decision for surgery. The surgery is performed on an outpatient basis: the patient is in the hospital less than 24 hours and is never formally […]
AAPC Knowledge Center
Place of Service
If a provider does not list the correct POS on the documentation/claim, is that grounds on its own for a denial?
Thank you
Thank you
Place of Service – For Independent Labs
Dear All,
Would you happen to know what the place of service should be for the services done at an independent lab? The Medicare claims processing manual states it should be the location that draws the testing specimen. However from my personal experience I’ve seen a lot of laboratories bill the place of service as 81- independent lab although the specimen was drawn at a clini/physician’s office (POS -11).
Appreciate any thought on this.
Thank you!
92071 – billing place of service
Our doctor placed a therapeutic contact lens (92071) which was done at an outpatient facility. We recd a denial stating that this cannot be done in this kind of setting. I cannot find anything that states cannot be done in a facility and there is also a facility and non facility fee on the medicare fee schedule. Can i get some advise on this? Could this be a denial error, or can this only be done in an office setting.
Thanks. Would appreciate any input.
Marybeth c.