Review Your Place of Service Coding Through A One-Of-A-Kind Webinar and get your complicance right with OIG’s 2012 work plan as your guide.
If a physician interprets an EEG in his office, you would report the place of service with “11,” the code for “office.” Easy? Think again. Don’t miss out on your place of service compliance or you’ll see your reimbursement and billing process go down the drain.
Transmittals 1823 and 1873, which took effect on Jan. 4, 2010, clarified how physicians should code the place of service (POS) when providing interpretations of diagnostic tests. You should stick to coding “11” for the aforementioned scenario, according to Centers for Medicare & Medicaid Services (CMS). You should do this even if the test is for a hospitalized patient.
Tip: Code based on where the physician is physically located when he/she performs the interpretation—not where the patient is. For instance, if the physician interprets a test in the hospital outpatient department, the claim should be coded as HOPD (code 22).
Make sure you’re accurate when coding the place of service because your code will determine the Medicare payment amounts you’ll receive.
Place of service errors is just one of several focus areas which the Office of the Inspector General (OIG) has outlined for its 2012 work plan. Other focus areas include hospital quality measures, payment for outpatient services performed in the 72-hour window of an inpatient admission, and the professional component billing of evaluation and management (E/M) services.
Purpose: You could use the information indicated in the OIG work plan for 2012 as guide to prevent the submission of erroneous claims.
Learn more tips on how to improve your OIG compliance from Quita Edwards, CPC, CCS-P, COSC, CPC-I, when she holds an hour long webinar on March 22, 2012 at 12 noon (ET). Titled “Maintaining Compliance With The OIG,” the webinar will discuss what every provider, supplier and facility needs to know about the OIG compliance requirements.
Edwards is a national workshop presenter for the American Academy of Professional Coders (AAPC) and The Coding Institute, among others, where she is responsible for continued education for all aspects of CPT, ICD-9, ICD-10, evaluation and management, auditing, compliance, and professional development.
Check out the event page for more information.