Billing & ClaimsQuestion 54 of 100
The 'place of service' code on a professional claim indicates:
a.The patient's home address
b.The setting where the service was provided, such as office, hospital, or telehealth
c.The provider's specialty
d.The amount the payer will reimburse
Explanation
The place of service code tells the payer where the service occurred, such as an office, inpatient hospital, emergency department, or the patient's home. It affects reimbursement because payment can vary by setting. An incorrect place of service code can cause denials or incorrect payment.
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Related questions on this topic
- The electronic equivalent of the paper CMS-1500 professional claim is the:
- Prior authorization (precertification) is:
- Verifying a patient's insurance eligibility before the visit helps to:
- Which item is generally required for a clean professional claim?
- An appeal of a denied claim is:
- The term 'assignment of benefits' means that the patient:
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