How to Document Split/Shared Visits in 2022

Why This Topic Matters

Split/shared visit billing rules affect whether services are reportable under the physician and how documentation must support the claim. Understanding the 2022 transition is important for maintaining compliant billing practices as Medicare policy changes evolve.

Article Sections

1. 2022 Medicare policy changes

   Introduces the Medicare policy changes affecting split/shared visit billing and places them in the context of the 2022 to 2023 transition period.

2. Two billing approaches for split/shared visits

   Describes the two general documentation pathways discussed for these services and the broad circumstances in which they are presented.

3. Documentation of substantive components

   Covers the documentation expectations associated with the component-based approach and the types of record elements discussed in the article.

4. Time-based billing and documentation

   Summarizes the time-based approach, including the need for individual time documentation and related recordkeeping considerations.

5. Other important considerations

   Reviews broader operational points such as payer applicability, claim attachment requirements, and the settings where these visits may be billed.

6. Transition to 2023

   Addresses the temporary nature of the 2022 approach and the article’s discussion of preparing for the later policy environment.