Health Information Management

Tip: Determine whether an urgent care center needs to report modifier -PO

APCs Insider, December 11, 2015

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Hospital-owned urgent care centers are subject to modifier -PO (services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments) unless it is a type A or type B ED. It's conceivable that some urgent care centers might be considered a type B, but you'd need to review the requirements and see if you've been treating it as a type A or type B ED. Quite a few of the urgent care centers are really physician offices in disguise. They're just treating patients at an urgent care level, which means it is likely that provider-based requirements are applicable.

This tip is adapted from “Making sense of modifier -PO” in the December issue of Briefings on APCs.

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