One wrong POS code. 02 instead of 10. 11 instead of 22. An ASC billed as office. The claim sits in a denial queue for weeks. Multiply that by every new biller your team trains.
We built a single sheet reference that maps every common POS code to its real denial trigger and the exact correction move. Print it 11×17, tape it above every desk, and watch your AR clean up.
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Since the CMS split, POS 02 means “not in the home.” POS 10 means “in the home.” Get it backwards and behavioral health heavy payers will sit on the claim.
A practice acquired by a health system isn't POS 11 anymore. It's POS 22. New billers miss this on their first 100 claims.
Urgent care billed as ER. SNF billed as nursing facility. Each one a corrected claim. Each one days of AR aging.
Audio only billed with 95 instead of 93. Or 95 missing where the payer requires it. Soft denials no one wants to chase.
No fluff. No 40 page ebook. One bulletin board sized sheet with the four columns your billers actually need at the moment of decision.
Every common code mapped across Medicare FFS, MA and commercial, and behavioral health / telehealth heavy payers.
When 95 is required, when 93 takes over for audio only, where edits will silently kill the claim.
The presubmission questions that catch 80% of POS errors before the clearinghouse does.
For each POS, the exact way payers deny it, and the corrected claim or appeal language that gets it paid.
You can feel the AR aging on POS denials but can't put a number on it. Hand this to every account. Client retention starts with clean claims.
You're training the same POS lesson three times a quarter. This is the artifact your team actually keeps next to their monitor.
Day one onboarding tool for new billers. Cuts the “wait, which POS?” question in half.
QA reference for AR analysts working denial worklists.
Talking point when a client asks why their telehealth POS denials spiked.
“The 02 vs 10 denial was costing one of our clients five figures a month in rework. We literally laminated this and put it above every biller's desk.”
Yes. Drop your email, get the PDF immediately. We'll send one short followup with related references for RCM teams. That's it.
Yes. The reference reflects the CMS POS code set: POS 02 for telehealth not in the home, POS 10 for telehealth in the home. Source notes are printed at the bottom of the sheet.
No. It's a desk reference baseline so your team isn't starting from zero. The sheet itself instructs billers to verify payer bulletins before final claim submission.
Absolutely. That's the point. Print it 11×17, post it in the AR room, hand it out at onboarding. Just don't redistribute it as your own.
No drip blast. One short followup. Unsubscribe in a click.
Get the one sheet reference your billers will actually use. Direct download as soon as you enter your email.
No sales calls. One short followup. Unsubscribe anytime.