| Physician Services |
What are the risks in reporting the wrong Place of Service (POS)?The risk in reporting the wrong Place of Service (POS) is the physician or physician group will get overpayments or denials and could be accused of submitting a false claim which could result in monetary penalties and other actions by enforcement agencies. It is critical to report accurately the place of physician services to prevent these risks. Different requirements and possibly payments apply to different places of service. For example, physician professional fees are reimbursed at a higher rate when performed in an office setting to cover the overhead expense incurred by the physician/group.