2023 Gastroenterology Reimbursement and Coding Update (Virtual) | November 2022-2022/2023 Split-Shared CMS Guidelines and Documentation Requirements

2022/2023 Split-Shared CMS Guidelines and Documentation Requirements

Video Transcription

Video Summary

In this video, the speaker discusses split share visits and the related CMS guidelines. They explain that advanced practice providers (APPs), such as physician assistants and nurse practitioners, are considered billing providers and are meant to extend the services of physicians. The guidelines state that a shared visit is a medically necessary encounter where both the physician and APP each perform a substantive portion of the visit on the same patient. The billing provider must be the one who performed the substantive portion of the encounter. The CMS policy requires documentation to identify the individuals who performed the visit and for both providers to sign the note. The video provides clinical examples and answers common questions regarding billing under shared visits. It concludes by mentioning that split-shared visits are no longer allowed in office settings according to CMS guidelines. (Note: No credits were mentioned or provided in the video.)

Asset Subtitle

Kristin Vaughn, CPC, QMC, QMGC, CPMA, ICDCT-CM

Keywords

split share visits

CMS guidelines

advanced practice providers

shared visits

billing providers