Wherever You Go, There You Are: The Importance Of Place Of Service
By Frank Cohen, Director of Analytics and Business Intelligence
As originally published by Racmonitor.com
Where a procedure is performed or a service is delivered can have an impact on how much the Centers for Medicare & Medicaid Services (CMS) or other payers are willing to pay. While there are nearly 50 different official place-of-service (POS) codes, CMS organizes them into two classifications: facility and non-facility. Interestingly, the terms can be a bit confusing, because they tend to intuitively refer to facility-based billing as well as billing for professional services. But alas, creating confusing concepts never seems to bother CMS very much. By definition, a “facility” place-of-service is thought of as a hospital or skilled nursing facility (SNF) or even an ambulatory surgery center (ASC) (POS codes 21, POS 31 and POS 24, respectively), while “non-facility” is most often associated with the physician’s office (POS code 11). Some of this can be a bit confusing. For example, as stated above, an SNF (POS 31) is classified as a “facility” location while a nursing facility (POS 32) is considered a “non-facility” for billing purposes.