POS 07: Tribal 638 Free-standing Facility
Tribal 638 contract facility billing.
CMS description
“A facility or location owned and operated by a federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to tribal members who do not require hospitalization.”
When to use POS 07
Tribal 638 contract facility billing.
Reimbursement
Tribal-specific encounter rates apply.
Common billing issues
- Restricted to 638 contract facilities
Frequently asked questions
What is POS 07?
Tribal 638 Free-standing Facility. A facility or location owned and operated by a federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to tribal members who do not require hospitalization.
When do I use POS 07?
Tribal 638 contract facility billing.
How does POS 07 affect reimbursement?
Tribal-specific encounter rates apply.
What are common POS 07 billing issues?
Restricted to 638 contract facilities.
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 04 — Homeless ShelterHealth services provided at a homeless shelter, typically by mobile clinics, str
- 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.
Sources
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