Jan 15, 2016 · CMS states that POS code 19 will follow the same payment policies as the current POS code 22, including the three-day rule under which services provided to patients at wholly-owned physician practices that take place within three days of a hospital admission are considered bundled into the payment for the admission, notes Granovsky.

Jun 17, 2016 · Key: CMS states that POS code 19 will follow the same payment policies as the current POS code 22, including the three-day rule. That rule states that services provided to patients at wholly-owned physician practices that occur within three days of a hospital admission are considered bundled into the payment for the admission, notes Granovsky.

Both POS codes 19 and 22 describe a place where diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services are provided to sick or injured persons who do not require hospitalization or institutionalization. The only difference is that POS 19 has been created to specify services provided in a provider-based department ...

Outpatient Facility Coding Alert - AAPC

Effective Jan. 1, 2016, the Centers for Medicare and Medicaid Services (CMS) is requiring the use of place of service (POS) code 19 Outpatient Hospital-Off campus to describe, “A portion of an off-campus hospital provider-based department which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to ...

Jul 26, 2017 · POS 19 is for outpatient services rendered away from the campus of the hospital - a satellite imaging facility across town, for example. POS 22 is for outpatient services rendered on the campus of the hospital - example being an outpatient imaging facility which is not in the main hospital building itself but is on the same piece of property as ...

Oct 1, 2020 · Non-excepted off-campus PBDs report modifier PN for each code billed on the UB-04 with POS 19 on the CMS-1500 claim. On-campus outpatient department services must report POS 22 on the CMS-1500 claim. CMS does not expect off-campus PBDs to report both modifiers on the same claim line, as this would create a conflict by stating the service or ...

Mar 23, 2016 · Officially, this ownership caused a change in location for billing purposes from Place of Service (POS) 11 – Office, to POS 22 – Outpatient Hospital. For 2016 there is now POS 19 – Off Campus Outpatient Hospital. The change from POS – 11 to POS 19 or 22 comes with billing implications which some say are significant.

POS 19 (Off Campus - Outpatient Hospital) Descriptor: A portion of an off-campus hospital provider based department which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization.

CMS states that POS code 19 will follow the same payment policies as the current POS code 22, including the three day rule under which services provided to patients at wholly-owned physician practices that take place within three days of a hospital admission are considered bundled into the payment for the admission, notes Granovsky.