Encore: Correct Billing: Know your Place of Service

This webinar was held on 7/16/2024.
The place of service entered on your claim makes a big difference in how Medicare processes your claims. The place of service can determine:
• Whether Medicare rejects the claim as unprocessable
• The allowed amount
• Rules that apply to the procedure code and the place of service
• Refunds to Medicare
This presentation will explore a recent Office of the Inspector General Report detailing issues with the place of service codes.
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Resources:
OIG A-04-21-04084 oig.hhs.gov/oa...
CMS IOM Publication 100-04, Medicare Claims Processing System,
Chapter 26, Completing and Processing Form CMS-1500 Data Set, Section 10.5 and 10.6 www.cms.gov/re...
Chapter 12, Physicians and Non-Physicians, Section 20.4.2 www.cms.gov/re...
Chapter 4, Part B Hospital (Including Inpatient Hospital Part B and OPPS), Section 170 www.cms.gov/re...
MLN006846 Skilled Nursing Facility Billing Reference www.cms.gov/Ou...
SNF Consolidated Billing www.cms.gov/me...
WPS POS Codes for Professional Claims med.wpsgha.com...
WPS RUclips SNF Playlist • Skilled Nursing Facili...