decisionhealth Newsletters, Answer Books - 2010 Issue 9 (September)
Archived - CMS Consults Prior to 2010 / Don't bill consultations as shared visits
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Article Overview
This archived article reviews Medicare guidance on consultation services when non-physician providers participate in care with physicians. It is relevant to coders, billing staff, and compliance teams who need to understand the broad CMS policy framework for consultation services, shared visits, and supervision-related considerations.
Why This Topic Matters
The article helps readers avoid billing and compliance errors involving consultation services in settings where physicians and non-physician providers both contribute to the encounter.
What You Will Learn
- How CMS describes consultation services in the context of physician and non-physician provider involvement
- How consultation services are distinguished from split/shared evaluation and management visits
- What the article says about billing consultation services under a physician or non-physician provider
- Which Medicare manual guidance is referenced in the discussion
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physicians
- Non-physician providers
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