CMS designs drastic changes to its split/shared policy

Why This Topic Matters

Practices that bill hospital-based split/shared visits need to understand the proposed CMS framework, because it could change how time, practitioner involvement, and documentation are handled for Medicare reporting.

Article Sections

1. Proposed split/shared visit framework

   Introduces the CMS proposal and the setting in which split/shared visits would be reported. Summarizes the overall direction of the policy changes.

2. How the proposed approach differs from the prior policy

   Reviews the major areas where the proposal diverges from earlier CMS guidance. Focuses on the broad areas of billing methodology, service settings, and related revisions.

3. Billing and time-based requirements

   Discusses the proposed role of time in selecting and reporting split/shared services. Covers practitioner attribution, overlapping time, and related timing considerations at a high level.

4. Documentation and reporting changes

   Describes proposed recordkeeping expectations and the addition of a reporting element for these services. Also notes associated administrative requirements.

5. CMS requests for comment and industry reaction

   Summarizes topics CMS is seeking comment on and the early reactions from industry observers. Includes general concerns raised about the proposal.