POS 10 Non-Facility Rate Payment and Modifiers Clarification
Given the robust amount of content provided in the CCHP newsletter last week (July 16, 2024 edition), some readers may have missed a Change Request to the CMS Manual System issued by the Centers for Medicare and Medicaid Services (CMS) in June that went into effect July 8, 2024. Change Request 13582, Billing and Payment for Telehealth Services with Place of Service (POS) 10 was directed at the Medicare Administrative Contractors (MAC). MACs are entities that have a contract with CMS to process Medicare Part A and Part B claims for certain territories. When a claim is submitted to Medicare, it goes through the MAC covering the area where the claim is made. MACs receive instructions and information from CMS regarding relevant policies, including Change Request 13582, which is specific to the use of POS 10.