POS Combos
A new POS Combos tab has been added to the Billing Rates and Payer Rules tab of your individual Settings and Directories. In this new section you can specify which combination of procedure code and modifier(s) produces a specific Place of Service (POS) code within the note.
To locate this new feature, navigate from the Chart Room to Settings and Directories:
Classic Chart Room:
New Chart Room:
Then click into the Specific to Individual > Billing Rates & Payer Rules tab. There you will find POS Combos.
In the first available Procedure Code dropdown list, click to make a selection.
Once the procedure code is set you will have the option of entering up to four (4) Modifiers.
Next, choose a POS Code from the dropdown field. For example, if the Procedure Code + Modifier combo is for a telehealth encounter, choose the 02 Telehealth option for your POS Code.
Example: a rule to apply the 02 Telehealth POS Code when the CP modifier is used in conjunction with the 908312 service code:
When the specified Procedure Code and Modifier(s) is added to a progress note, the POS code will be automatically applied to the electronic (ANSI 837) and/or paper claim (CMS1500), even if the POS code for the specified Site/Facility location is different (such as 11 Office).
Example: the CMS 1500 reflects the Place of Service code specified in the POS Combo rule
For customers currently utilizing the Billing Service Combos tab via group rule, please note that your Billing Service Combo with a specified Place of Service code is give priority over a matching rule in the POS Combos tab.
Tip for Group Administrators: Save time and use the 'copy' and 'paste' buttons to duplicate POS Combos from one provider to the next.
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