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POS 11

Shani Posted Tue 20th of September, 2016 16:32:19 PM
When doing purchased service, what POS do you use if the purchaser is POS 11 and they are purchasing the TC from POS 22?
SuperCoder Answered Wed 21st of September, 2016 09:06:53 AM

Hi,

CMS determines whether a Medicare physician fee schedule (MPFS) facility or non-facility payment rate is appropriate for a specific setting when a POS code is developed. The POS code determines the reimbursement rate for each service and is based on where the patient received face-to-face services. The CMS professional component MPFS reimbursement for laboratory services is higher when billed as performed at a non-facility (for instance, a physician office) as opposed to at a facility (for instance, a hospital, POS 22, or an ASC, POS 24).

Hope this helps!

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