Practice Quiz

Medical Coding

Category - Compliance and Regulatory

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What does “place of service” reporting refer to?
  1. It refers to the location of the billing department, whether in a hospital or physician’s office or independent.
  2. It refers to the primary location of the provider seeing the patient. If the provider is an outpatient physician, but sees the patient inside the hospital, then the place of service is the outpatient physician’s office.
  3. Only services in the hospital or in the providers’ office are considered “place of service” for reporting purposes.
  4. It refers to the location of the setting in which the patient is treated.
Explanation
Answer: D - “Place of service” reporting refers to the location of the setting where the patient is treated or the service is provided.
Evaluation and management codes can be specific to the setting in which the patient is seen. Certain procedures or services may be specific to a setting, such as therapeutic, diagnostic or prophylactic. Facilities may also be specified whether in the hospital, at home, in a physician’s office or in a nursing home. Whatever location in which the encounter occurs is the “place of service.”
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