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Last Modified: 4/13/2012
Location: FL, PR, USVI
Business: Part B
Revised and clarified place of service coding instructions
Effective date: October 1, 2012
Implementation date: October 1, 2012
Summary
The Centers for Medicare & Medicaid Services (CMS) issued change request (CR) 7631 as a result of consistent findings by the Office of the Inspector General (OIG) that indicate physicians and suppliers frequently report the place of service (POS), in which they furnish services, incorrectly. This improper billing is particularly problematic when physician and other suppliers furnish services in outpatient hospitals and in ambulatory surgical centers (ASCs).
CR 7631 provides instructions regarding the assignment of POS codes for all services paid under the Medicare physicians fee schedule and for certain services provided by independent laboratories. In addition, it furnishes instructions for the professional and the technical components of diagnostic tests and establishes a national policy for the correct assignment of POS codes.
Source: MM7631
