Medical Billing Forum

Billing => Billing => : Iconkelly November 21, 2010, 08:10:02 PM

: HELP - what is the correct place of service for IDTF inside an ASC?
: Iconkelly November 21, 2010, 08:10:02 PM

I'm billing TC for diagnostic radiology services for a mobile IDTF, and most of our services are provided in an ASC. If I bill with a place of service 24, the claims get rejected by Medicare because diagnostic services aren't reimbursed in an ASC. So, question is, what POS do I use? Do I use POS 15 even though the services are performed in an ASC, or do I use POS 11, or POS 49? I don't know which to use and my Medicare contractor (Palmetto GBA) won't answer my question...

: Re: HELP - what is the correct place of service for IDTF inside an ASC?
: PMRNC November 22, 2010, 09:25:12 AM

I believe you have to use the ASC POS, to do otherwise would be fraud

: Re: HELP - what is the correct place of service for IDTF inside an ASC?
: medauthor November 24, 2010, 02:27:57 AM

Have you seen this?

http://www.healthlawyers.org/Events/Programs/Materials/Documents/MM10/greeson_melvin.pdf (http://www.healthlawyers.org/Events/Programs/Materials/Documents/MM10/greeson_melvin.pdf)