Revenue Code Vs Place Of Service
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These codes should be used on professional claims to specify the entity where service s were rendered.
Revenue code vs place of service. Place of service 32 is indicated when a facility which primarily provides to residents skilled nursing care and related services for the rehabilitation of injured disabled or sick persons or on a regular basis health care services above the level of custodial care to other than individuals with intellectual disabilities. There are 81 fields on the ub 04 and the revenue codes are located by field 42 49 fl42 49. Understand revenue codes ambulatory surgery reimbursement update april 8 2008. List of place of service codes updated jan 1 2017 listed below are place of service codes and descriptions.
A medical claim will not be paid if this is missing from a bill. Revenue codes are three digit codes that affect reimbursement and represent the services provided by the asc facility for a payer. Every item in a hospital s chargemaster catalog of all services performed by that hospital must have one revenue code attached to it. The main reason why these codes are requested is because certain types of services can happen in more than one area.
Revenue codes are 3 digit numbers that are used on hospital bills to tell the insurance companies either where the patient was when they received treatment or what type of item a patient might have received as a patient. Cms developed different pos codes to better distinguish between professional services furnished in on campus and off campus hospital settings. Beginning january 1 2016 pos code 22 was redefined as on campus outpatient hospital and a new pos code 19 was developed and defined as off campus. Revenue codes go along with procedure codes.
This place of service codes is a 2 digit numeric codes which is used on the hcfa 1500 claim form while billing the medical claims to the health care insurance companies denoting the place where the healthcare services was performed from the provider to. How are place of service pos codes 19 and 22 used on claims for provider based entities. Check with individual payers e g medicare medicaid other private insurance for reimbursement policies regarding these codes. The revenue codes were developed for the medicare system but were soon adopted as standard for hospitals.
Listed below are place of service codes and descriptions. Why revenue codes are important. Note that you can t report revenue codes on a cms 1500 form but you can report them on a ub 04. These codes should be used on professional claims to specify the entity where service s were rendered.
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