#POS 11 PROFESSIONAL#
These codes should be used on professional claims to specify the entity where service(s) were rendered. Listed below are place of service codes and descriptions. POS information is often needed to determine the acceptability of direct billing of Medicare, Medicaid and private insurance services provided by a given provider.
#POS 11 CODE#
This standard names the POS code set currently maintained by CMS as the code set to be used for describing sites of service in such claims. The Transaction and Code Set Rule adopted the ASC X12N-837 Health Care Claim: Professional, volumes 1 and 2, version 4010, as the standard for electronic submission of professional claims. These standard transactions require all health plans and providers to use standard code sets to populate data elements in each transaction. HIPAA directed the Secretary of HHS to adopt national standards for electronic transactions. This code set is required for use in the implementation guide adopted as the national standard for electronic transmission of professional health care claims under the provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Centers for Medicare & Medicaid Services (CMS) maintain POS codes used throughout the health care industry. Place of Service Codes are two-digit codes placed on health care professional claims to indicate the setting in which a service was provided. News - industry news & Find-A-Code updatesĬlose Place of Service Codes (CMS1500 box 24b).Marketplace - recommended products & services.Bookstore - buy digital books from Find-A-Code.Bookstore - buy physical books & cheat sheets.Subjects - Audits, E&M, HIPAA, Practice Mgt, etc.Specialties - Cardiology, ENT, Family Practice, etc.Payers - Medicare, Medicaid, BC/BS, Aetna, etc.Facilities & Organizations - ACOs, Hospitals, etc.AHA's Coding Clinic ® - ICD-10-CM/PCS +Archives.
0 kommentar(er)
