What must match the level of service codes reported by physicians in a hospital setting?

The level of service codes reported by physicians in a hospital setting must match the level of service codes reported by the facility because accurate coding is essential for proper billing and reimbursement. Both the physician and the facility must align on the level of service provided to ensure that the services rendered reflect the same complexity and intensity of care. This alignment is crucial for several reasons, including compliance with regulations, preventing coding discrepancies, and ensuring that the reimbursement amounts are appropriate based on the services provided.

When this alignment occurs, it supports the claims submitted to insurance payers, helping to avoid denials or audits related to coding inconsistencies. Accurate correspondence between the physician's coding and the facility's coding enhances overall efficiency in the billing process and helps to maintain financial health within the healthcare organization.