Provider-Based Department Coding and Billing
October 12, 2020 at 11 AM
This presentation will help hospitals to ensure they are coding and billing correctly for Provider-Based Department services and to receive appropriate reimbursement for both the technical and professional components. There has been a marked increase in hospital ownership of both physician practices and hospital-based clinics over the past several years. We now have multiple POS codes for the CMS 1500 and modifiers to use on the UB04 claim depending on whether the PBD is on-campus or off-campus or grandfathered in under the Outpatient Prospective Payment System. If you are a Critical Access Hospital with a Provider-Based Department, this presentation can help ensure you are charging appropriately for all services provided and reporting appropriate cost for the technical and professional component.
Kathy Dean, CPMA, CPC, COC, CPC-P, CCS-P