decisionhealth Newsletters, Answer Books - 2010 Issue 4 (April)
Answer_Book / Evaluation_and_Management_Services / End of consult coverage creates split shared service opportunity
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Article Overview
This article discusses how the end of consult coverage changes billing opportunities for evaluation and management services, especially split/shared scenarios involving physicians and non-physician practitioners. It is aimed at coders, billers, and practice managers who need a general understanding of reimbursement policy shifts, office-setting requirements, and documentation expectations related to these E/M services.
Why This Topic Matters
Understanding this policy change helps practices recognize when split/shared billing may be available and what general documentation and setting considerations apply. It is relevant for organizations trying to manage productivity, reimbursement, and compliant E/M billing workflows.
What You Will Learn
- How the end of consult coverage affects evaluation and management billing options
- The general concept of split/shared services in a practice setting
- Why documentation and visit setting matter for these services
- How physician and non-physician practitioner participation can affect billing workflows
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle professionals
- Physicians
- Non-physician practitioners
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