Physician Billing Problem-Correct Place of Service Coding

Written by Reed Tinsley | September 27, 2005

Audit Reveals High Rate of Place of Service Coding Errors in Medicare Claims

According to the July issue of Texas Medicine (www.texmed.org), a recent audit of Part B claims revealed that in 76 of 100 sampled physician services, place of service (POS) was billed incorrectly to the Medicare carrier (Trailblazer Health Enterprises). In these cases, physicians performed a service in a facility but billed Medicare using the "office" or their nonfacility POS code.

To avoid POS coding errors, according to the article, be sure to identify on your Medicare claims the actual location where your personally performed the services.

About the Author

Reed Tinsley CPA

This article is written by Reed Tinsley, a Houston, TX-based CPA with over 30 years of experience advising physicians and medical practices across Texas and the United States. Reed holds certifications as a Certified Valuation Analyst (CVA), Certified Healthcare Business Consultant (CHBC), and Certified Financial Planner (CFP), specializing exclusively in the healthcare sector. He is a published author, nationally recognized speaker, and trusted advisor to physicians on accounting & tax, practice management, and financial planning. Schedule a Free Consultation.

Have questions? I’m here to help.

Categories
Accounting and Tax Services Litigation Support Managed Care Consulting Managed Care Contract Negotiations Medical Practice and Healthcare Entity Valuation Medical Practice Assessment Medical Practice Brokerage Medical Practice Embezzlement Consulting Medical Practice Management Medical Practice Merger Advice Medical Strategic Planning Newsletter Personal Financial Planning Oversight Physician Compensation Models Physician Compliance Physician Financial Management Services Retirement Uncategorized