Site of Service: Viewing Supporting Data

Site of Service includes data insights for inpatient and outpatient setting designations and ambulatory site-of-service benchmarks. Visualization of supporting data can help inform a setting designation that falls below the threshold of 75% and help guide organizations to direct procedures to the safest care setting. For example, the data can help a secondary reviewer make an informed decision when an inpatient level of care is requested but the data does not support that site of service.

  • Select a subset with site of service data (Site of Service is available for CP: Procedures, Medicare Procedures, and BH: Services (select subsets) products.)
  • Read the subset notes to get information about the subset.
  • Select Begin Medical Review button.
  • Answer the questions by reviewing each one as it appears and providing answers by selecting one or more options, as appropriate.
  • Follow rules associated with the questions. Rules display in brackets next to the question (for example, [ ≥ One, except Other clinical information (add comment)] is a rule).
  • If necessary, select Next to continue to the next question. Single answer questions automatically display the next question, while multi-answer questions display the Next button.
  • View any notes associated with the questions by selecting the note icon.
  • Answer all required questions. Required questions appear with the word Required in red text next to the question.
  • When you reach the end of the questions, select View Recommendations button.
  • Select the recommendation.

  • Select the relevant CPT® code(s) and view the supporting data visualization information. For detailed information on selecting CPT codes, see the steps for selecting CPT codes.

    Image of Recommendations screen that shows site of service data visualization data

  • Select Review Summary button and then continue with Viewing and Printing the Review Summary.