POS 13: Assisted Living Facility
Visits to patients residing in an ALF.
CMS description
“Congregate residential facility with self-contained living units providing assessment of each resident's needs and on-site support 24 hours a day, 7 days a week, with the capacity to deliver or arrange for services including some health care and other services.”
When to use POS 13
Visits to patients residing in an ALF.
Reimbursement
Non-facility rate typically.
Common billing issues
- Confused with POS 14 (Group Home) and POS 33 (Custodial Care)
Frequently asked questions
What is POS 13?
Assisted Living Facility. Congregate residential facility with self-contained living units providing assessment of each resident's needs and on-site support 24 hours a day, 7 days a week, with the capacity to deliver or arrange for services including some health care and other services.
When do I use POS 13?
Visits to patients residing in an ALF.
How does POS 13 affect reimbursement?
Non-facility rate typically.
What are common POS 13 billing issues?
Confused with POS 14 (Group Home) and POS 33 (Custodial Care).
Related codes
Sources
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