How Solubillix Ensures Accurate Telehealth Billing and Zero POS-Related Denials
Place of Service (POS) codes are critical in telehealth billing because a single incorrect POS can cause claim denials, underpayments, or incorrect reimbursement rates. With the rise of virtual care, POS 02 and 10 have become two of the most frequently used—and most commonly misused—codes in medical billing.
This guide explains everything billers and providers need to know about POS 02 and POS 10, the difference between them, when to use each, billing mistakes to avoid, and how Solubillix ensures accuracy for your telehealth claims.
What Are POS 02 and POS 10?
✔ POS 02 — Telehealth Provided Other Than Patient’s Home
Definition:
Telehealth services delivered when the patient is located anywhere except their home.
This includes:
- Office/clinic sites
- Skilled nursing facilities
- Hospitals
- Schools
- Employer locations
- Community health centers
- Any non-home setting where the patient participates in the visit
Purpose:
To tell payers that the telehealth visit did NOT take place at the patient’s residence.
✔ POS 10 — Telehealth Provided in Patient’s Home
Definition:
Telehealth services delivered when the patient is located in their home at the time of the visit.
This has become increasingly important as most virtual visits now occur from home.
Purpose:
To indicate home-based telehealth and trigger the correct non-facility reimbursement rate.
Key Differences Between POS 02 and POS 10
| Feature | POS 02 | POS 10 |
| Patient Location | Anywhere except home | Patient’s home |
| Introduced Year | Updated in 2022 | Introduced in 2022 |
| Reimbursement Impact | Usually reimbursed at facility rate | Typically reimbursed at non-facility rate (higher) |
| Main Use Case | Telehealth from office, clinic, hospital, etc. | Telehealth accessed from patient’s home |
| Why it matters | Incorrect use may reduce payment | Incorrect use may cause denials |
Bottom line:
POS 02 = patient NOT at home
POS 10 = patient IS at home
When Should Billers Use POS 02 and POS 10?
Use POS 02 When:
- Patient is in a healthcare facility
- Patient is in an office or clinic setting
- Patient takes the visit while traveling or at another provider’s site
- Telehealth is performed in schools or community centers
- Patient is in a hospital room or nursing home
Use POS 10 When:
- Patient attends the visit from home
- Patient uses home Wi-Fi or personal device
- Telehealth is scheduled specifically as “virtual visit from home”
- Patient is in assisted-living but not a medical facility
- Visit is done from patient’s permanent or temporary residence
Common Mistakes Billers Make with POS 02 and POS 10
1. Using POS 02 for all telehealth visits
Many billers forget that POS 10 exists and continue to use POS 02 universally, causing:
- Underpayments
- Incorrect reimbursement rates
- Payer audits
2. Using POS 10 but forgetting appropriate telehealth modifiers
Example:
- Modifier 95 or GT is required by many payers
- Missing modifiers often lead to CO-4, CO-16, or technical denials
3. Incorrect assumption that POS 10 replaces POS 02
Both codes still exist and mean very different things.
4. Not updating POS rules after payer policy changes
Some payers (Medicare, Medicaid, commercial plans) modify telehealth rules frequently.
Using outdated rules leads to unnecessary denials.
5. Billing POS 10 for patients in skilled nursing or hospital
If the patient is in ANY healthcare facility, POS 02 should be used — not POS 10.
6. Using wrong POS for behavioral health telehealth
Behavioral health has additional requirements, especially for Medicare.
7. Failing to verify patient location at time of visit
This is the root cause of most POS errors.
How Solubillix Helps You Avoid POS Errors & Maximize Telehealth Reimbursement
Solubillix specializes in accurate, compliant telehealth billing and ensures every claim uses the correct POS, modifiers, and payer-specific guidelines. Here’s how we help:
✔ 1. Real-Time Patient Location Verification
Solubillix confirms the patient’s location for every telehealth visit to ensure:
- Correct POS assignment
- Proper modifier usage
- Accurate reimbursement
✔ 2. Payer-Specific Telehealth Knowledge
Every insurance—Medicare, Medicaid, BCBS, Aetna, UHC—has its own requirements.
Solubillix maintains updated payer telehealth policies to prevent avoidable denials.
✔ 3. Increased Reimbursements with Correct POS Usage
Using POS 10 often results in higher non-facility reimbursement rates.
We ensure your practice gets the full allowed amount.
✔ 4. Denial Prevention & Fast Reprocessing
If a claim is denied for POS or telehealth-related reasons (e.g., CO-151, CO-16, PR-204):
Solubillix reprocesses, corrects the POS, and resubmits immediately.
✔ 5. Complete Telehealth Revenue Cycle Management
Solubillix handles:
- Eligibility & benefit verification
- Telehealth coding
- Modifiers 95/GT/GQ
- POS assignment
- Claim submission
- AR follow-up
- Payment posting
Your claims are clean, compliant, and paid on time.
✔ 6. Detailed Compliance & Reporting
We provide:
- Monthly telehealth reimbursement reports
- POS usage tracking
- Reimbursement rate comparisons
- Denial trend analysis
This helps your practice stay compliant and financially healthy.
Why Telehealth Providers Trust Solubillix
✔ Zero POS errors
✔ Higher telehealth reimbursement rates
✔ Perfect modifier accuracy
✔ Dedicated billing experts
✔ 100% compliance with CMS & payer guidelines
Conclusion
POS 02 and POS 10 play an essential role in accurate telehealth billing. Misusing them can lead to denials, underpayments, and compliance risks. With Solubillix as your medical billing partner, your practice benefits from expert handling of telehealth coding, POS accuracy, and denial prevention—ensuring you receive the maximum reimbursement for every virtual visit.
