Health Information Management

Pay-per-view: Making sense of modifier -PO

APCs Insider, December 4, 2015

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Provider-based clinics and departments are increasingly common, but the rules for provider-based billing can often be confusing, especially given recent changes to modifiers and place of service codes.
Hospitals will be required to report modifier -PO (services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments) for applicable services beginning January 1, 2016.
Hospitals can voluntarily report this modifier in 2015, but CMS will require it in 2016 for departments owned and operated by the hospital but located more than 250 yards from the hospital.


Continue reading "Making sense of modifier -PO" on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the December issue. 

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