POS 04: Homeless Shelter
Health services provided at a homeless shelter, typically by mobile clinics, street medicine teams, or visiting providers.
CMS description
“A facility or location whose primary purpose is to provide temporary housing to homeless individuals (e.g., emergency shelters, individual or family shelters).”
When to use POS 04
Health services provided at a homeless shelter, typically by mobile clinics, street medicine teams, or visiting providers.
Reimbursement
Standard facility-rate billing. Federally Qualified Health Centers (FQHCs) often bill under POS 04.
Common billing issues
- Coverage policies vary; some commercial plans require prior auth
Frequently asked questions
What is POS 04?
Homeless Shelter. A facility or location whose primary purpose is to provide temporary housing to homeless individuals (e.g., emergency shelters, individual or family shelters).
When do I use POS 04?
Health services provided at a homeless shelter, typically by mobile clinics, street medicine teams, or visiting providers.
How does POS 04 affect reimbursement?
Standard facility-rate billing. Federally Qualified Health Centers (FQHCs) often bill under POS 04.
What are common POS 04 billing issues?
Coverage policies vary; some commercial plans require prior auth.
Other POS codes
- POS 01 — PharmacyUsed primarily for vaccines administered at a pharmacy and pharmacist-rendered s
- POS 02 — Telehealth Provided Other than in Patient's HomeSince 2022, POS 02 must be used for telehealth when the patient is anywhere OTHE
- POS 03 — SchoolUsed for services provided in a school setting — typically school-based health c
- POS 05 — Indian Health Service Free-standing FacilityIHS billing only. Special encounter rates apply.
- POS 06 — Indian Health Service Provider-based FacilityIHS billing only, provider-based hospital outpatient setting.
- POS 07 — Tribal 638 Free-standing FacilityTribal 638 contract facility billing.
Sources
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