BC Advantage - 2021 Issue 6

Important Changes to Shared/Split Services

As you may be well aware, a split or shared E/M encounter refers to a face-to-face E/M encounter where an encounter is performed by both a nonphysician practitioner (NPP) (e.g., midlevel, QHP, NP, PA, CNS) and a physician. Reporting of split (or shared) services has always been wrought with the potential for incorrect reporting when the fundamental principles of the service are not understood. A recent CMS publication about these services further complicates the matter.The basic principle to be followed is that each provider's contribution is individually documented and scored and the sum of both used to...

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