Important Notice: Our web hosting provider recently started charging us for additional visits, which was unexpected. In response, we're seeking donations. Depending on the situation, we may explore different monetization options for our Community and Expert Contributors. It's crucial to provide more returns for their expertise and offer more Expert Validated Answers or AI Validated Answers. Learn more about our hosting issue here.

How can Non-Institutional Type of Services (TOS) be determined?

April 26, 2017institutional Services TOS type

0

10 Posted

How can Non-Institutional Type of Services (TOS) be determined?

1 Answer

0

Posted

There are two TOS codes: the BERENSON-EGGERS TOS (BETOS) codes and the HCFA TOS codes. These are explained and defined as follows: 1. Determination of categories by BETOS Codes: General Categories (see below for detail) (1) Clinical Laboratories: T1A through T1H (2) Durable Medical Equipment : D1A through D1F (3) Anesthesia: PO (4) Ambulance: O1A (5) Physician: All Other BETOS Codes THE FOLLOWING ARE THE BERENSON-EGGERS TYPE OF SERVICE (BETOS) CODES FOR EACH HEALTH CARE FINANCING ADMINISTRATION COMMON PROCEDURE CODING SYSTEM (HCPCS) PROCEDURE CODE. THE BETOS CODING SYSTEM WAS DEVELOPED PRIMARILY FOR ANALYZING THE GROWTH IN MEDICARE EXPENDITURES. THE CODING SYSTEM COVERS ALL HCPCS CODES; ASSIGNS A HCPCS CODE TO ONLY ONE BETOS CODE; CONSISTS OF READILY UNDERSTOOD CLINICAL CATEGORIES (AS OPPOSED TO STATISTICAL OR FINANCIAL CATEGORIES); CONSISTS OF CATEGORIES THAT PERMIT OBJECTIVE ASSIGNMENT; IS STABLE OVER TIME; AND IS RELATIVELY IMMUNE TO MINOR CHANGES IN TECHNOLOGY OR PRACTICE PATTERNS.