Medical Coding

Category - Compliance and Regulatory

True or false: Only physicians can use place of service reporting in the CPT guidelines.
  1. True, only physicians are considered to be able to provide services to patients.
  2. False, the words “physician,” “qualified healthcare professional,” or “individual” can all be used and even other entities may report the service.
  3. False, the term “physician” encompasses all healthcare providers whether registered nurses, physician assistants or nurse practitioners. These terms leave out physical therapists, speech therapists, occupational therapists and other entities that may provide necessary services for the patient.
  4. True, only physicians can provide facility and non-facility services and code for them.
Explanation
Answer: B - The CPT guidelines specify that terms such as “physician,” “qualified healthcare professional,” and “individual” are not used to exclude, instead it is meant that other entities besides those specific ones can report services too, unless specifically stipulated in a procedural guideline.
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