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Medication given in outpatient setting

David Posted Sat 27th of June, 2015 13:05:49 PM

Our physicians will sometimes take the medication we have purchased thru the office to give to a patient in the outpatient setting. What place of service code should be used for the drug so it gets reimbursed?
I have put in outpatient place of service and been denied as not covered in this place of service but I wasn't sure if it was accurate to use "office" as place of service when it wasn't given in office?

asif Answered Mon 29th of June, 2015 07:00:46 AM

Well, if the medication is not given in the office and you are giving the POS as "office" then it will be counted under fraud. So, it is suggested to use the POS where you are giving the medication. Hope it helps!

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