Author Topic: Place of service question  (Read 2014 times)

Anne

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Place of service question
« on: March 27, 2011, 03:05:35 PM »
The speech therapist that I bill for usually treats patients at the home of the patient (not a home health agency).  But sometimes she treats patients at a private school for children with special needs.   Do I put address of the school in Box 32 when the patient is treated there?  The school facility is not in her demographics info with the insurance carrier. 


Georgia Girl

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Re: Place of service question
« Reply #1 on: March 27, 2011, 05:22:42 PM »
The place of service info goes in 24-b. If it is in the patients home you would use "11".  For the school, you could use "33".
Box 34 should show the provider's normal address of his/her business address or office as on record with the appropriate insurers, not the address of where the treatment was done. I have a client that is a speech therapist, and most of her patients are treated in their homes. It should make no difference to the insurers where the treatment was done for this type of treatment.

medauthor

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Re: Place of service question
« Reply #2 on: March 27, 2011, 05:54:17 PM »
Quote
The place of service info goes in 24-b. If it is in the patients home you would use "11".  For the school, you could use "33".
Box 34 should show the provider's normal address of his/her business address or office as on record with the appropriate insurers, not the address of where the treatment was done. I have a client that is a speech therapist, and most of her patients are treated in their homes. It should make no difference to the insurers where the treatment was done for this type of treatment.

Sorry....but I disagree with the above quoted information. 

~The Place of Service for HOME is 12, NOT 11.
~The Place of Service for SCHOOL is 03, NOT 33.
~And, YES, it does make a difference to the insurance companies WHERE treatment was done; if it was the HOME, leave block 32 blank; if it was the child's school, you need to put the name and address of the school in 32.
~there is NO block 34 on the CMS-1500 form.
Michelle Rimmer, CHI, CPMB
President-Professional Medical Billers Association
Owner-ABA Therapy Billing Services
Author, 'Medical Billing 101' and 'Coding Basics: Understanding Medical Collections

Anne

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Re: Place of service question
« Reply #3 on: March 27, 2011, 10:31:39 PM »
thank you, yes I know 12 is home, 11 is office, 03 is sch.   My question was about box 32, which you answered.   Was wondering though if insurance company needs to have on file that this provider sometimes treats patients at this particular sch.   

Anne

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Re: Place of service question
« Reply #4 on: March 27, 2011, 11:19:31 PM »
Just to be clear - the therapist is not affiliated at all with the school.  We file claims for her as an individual priviate speech therapist

Georgia Girl

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Re: Place of service question
« Reply #5 on: March 27, 2011, 11:44:04 PM »
You are correct about my post being wrong, I was distracted and put out the wrong information, and did not double check before hitting the post button. I sit here with egg on my face, and it won't wash off. 33 is a custodial care facility, and is why I used it as an example and I am used to using 11 as the facility on most of my claims, so I just wasn't thinking on that one.  Don't know where that box 34 came from? The movie I was watching I guess. Oh well, back to bed for some rest.

Michele

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Re: Place of service question
« Reply #6 on: March 28, 2011, 07:47:04 AM »
You may run into a problem with leaving box 32 blank.  I have seen claims rejected for not completing box 32.  When the POS is 12 we were advised that box 32 should be completed with the office address/info.  Some carriers require box 32 be completed no matter where the treatment was performed.  Some still accept it with 32 blank.  Just wanted to give you a heads up in case you run into a problem.   :)

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Anne

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Re: Place of service question
« Reply #7 on: March 28, 2011, 08:27:44 AM »
Thank you all for your input.    Don't worry Georgia Girl - we've all been there - distracted or in a hurry, or just tired.