BC Advantage - 2022 Issue 5
Five Facts about Split Visits
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Article Overview
This article summarizes key points about split/shared visit policy changes for 2022 and explains the kinds of issues practices should review when evaluating workflow, documentation, and billing impacts. It is aimed at physicians, advanced practice professionals, hospital-based practices, and coding/billing staff who need a plain-language refresher on the scope of the rules and related operational considerations.
Why This Topic Matters
Split/shared visit policy can affect billing responsibility, documentation workflows, and practice revenue in hospital and other institutional settings. Understanding the article helps readers determine whether they need to review internal procedures, compensation models, and payer-specific handling of these visits.
Article Sections
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Five Facts about Split Visits
An introductory overview of the article’s purpose and the general topic of split/shared visit rules for 2022.
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One
A point-by-point explanation of where the split visit rules apply and which types of personnel are outside the scope discussed here.
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Two
A discussion of the year’s policy status for certain office-setting billing arrangements and whether changes were made for that scenario.
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Three
A summary of billing considerations for advanced practice professionals in most settings and the general impact described for services in scope.
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Four
Coverage of hospital and other institutional settings, including the general criteria described for determining who bills in the scenario discussed.
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Five
A reminder about signature, dating, and modifier requirements associated with the visits discussed in the article.
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Five Minute Fixes
Operational takeaways for practices, including workflow, compensation, payer review, and audit considerations related to the topic.
What You Will Learn
- The scope of split/shared visit guidance for 2022
- How the article frames differences between office and institutional settings
- Why documentation and billing workflows may need review
- What practice-level operational areas may be affected by the policy
- Which types of clinicians and teams should pay attention to the guidance
Who Should Read This
- Physicians
- Advanced practice professionals
- Medical coders
- Billing staff
- Practice administrators
- Hospital compliance teams
Modifiers Discussed
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