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Code it right or repay: place-of-service compliance
1Kathleen D. Schaum & Associates, Inc, Lake Worth, Florida, USA. kathleendschaum@bellsouth.net
Abstract:
All physicians/practitioners/suppliers should download and read CMS Transmittal 2407 in its entirety. In addition, a precise process to inform billers of the exact location where each wound care service was performed should be established. Billers should enter the correct POS code on every claim submitted to Medicare. Because the physician/practitioner/supplier is ultimately responsible for all claims submitted with the provider number, you should conduct internal audits of submitted claims to be certain that the POS code has been appropriately assigned and matches the actual location where your service was performed. If the internal audit identifies noncompliance with the POS code policy, correct your process and consider self-reporting the billing errors to Medicare. If the internal audit identifies compliance with the POS code policy, celebrate with your team!
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